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1316944754
TOM DAVID HAZEL
ASHLAND, OR
NPI
1316944754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 083042659)
Enumeration Date
2005-06-30
Last Update Date
2008-05-06
Business Address
Mr. TOM DAVID HAZEL FNP
560 CATALINA DR
ASHLAND, OR 97520-1605
Phone number: 541-201-4800
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Mailing Address
Mr. TOM DAVID HAZEL FNP
280 MAPLE ST
ASHLAND, OR 97520-1552
Phone number: 541-201-4800
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