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1255409280
JACK R LAZER
JOHNSTOWN, PA
NPI
1255409280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: PA DS021727L)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
Dr. JACK R LAZER DMD
105 MCCORT PL
JOHNSTOWN, PA 15904-1303
Phone number: 814-269-4404
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Mailing Address
Dr. JACK R LAZER DMD
105 MCCORT PLACE
JOHNSTOWN, PA 15904
Phone number: 814-269-4404
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