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1689624678
LANCE NUSSBAUM
HILL AFB, UT
NPI
1689624678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083A0100X Preventive Medicine Aerospace Medicine
(Licence: OH 34008122)
Enumeration Date
2006-05-11
Last Update Date
2020-06-26
Business Address
DR. LANCE NUSSBAUM DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-586-9772
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Mailing Address
DR. LANCE NUSSBAUM DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 937-956-3434
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