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1265672505
DOUGLAS TIDWELL
KETTERING, OH
NPI
1265672505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
242T00000X Perfusionist
Enumeration Date
2009-02-26
Last Update Date
2009-02-26
Business Address
MR. DOUGLAS TIDWELL CCP
580 LINCOLN PARK BLVD SUITE 322
KETTERING, OH 45429-3474
Phone number: 937-297-6800
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Mailing Address
MR. DOUGLAS TIDWELL CCP
580 LINCOLN PARK BLVD SUITE 322
KETTERING, OH 45429-3474
Phone number: 937-297-6800
Copy
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