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1659430031
NUSRAT A HAWA
CHAMPAIGN, IL
NPI
1659430031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019025812)
Enumeration Date
2006-12-08
Last Update Date
2011-11-23
Business Address
Dr. NUSRAT A HAWA D.M.D.
4906 PEIFER LN
CHAMPAIGN, IL 61822-8321
Phone number: 217-531-1852
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Mailing Address
Dr. NUSRAT A HAWA D.M.D.
4906 PEIFER LN
CHAMPAIGN, IL 61822-8321
Phone number: 217-531-1852
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