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1467493130
STEPHEN JEWELL HANSARD
LAGRANGE, GA
NPI
1467493130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN010845)
Enumeration Date
2006-06-10
Last Update Date
2011-02-16
Business Address
Dr. STEPHEN JEWELL HANSARD
606 S GREENWOOD ST
LAGRANGE, GA 30240-3128
Phone number: 706-882-5551
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Mailing Address
Dr. STEPHEN JEWELL HANSARD
606 S GREENWOOD ST P O BOX 2030
LAGRANGE, GA 30240-3128
Phone number: 706-882-5551
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