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1508077082
GARY LEE DOUGAN
OAKLAND, CA
NPI
1508077082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 29257)
Enumeration Date
2007-05-25
Last Update Date
2007-10-18
Business Address
Dr. GARY LEE DOUGAN DDS, MPH
17 CAPTAINS CV
OAKLAND, CA 94618-2311
Phone number: 510-841-4568
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Mailing Address
Dr. GARY LEE DOUGAN DDS, MPH
17 CAPTAINS CV
OAKLAND, CA 94618-2311
Phone number: 510-841-4568
Copy
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