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1700174299
KEITH BRIAN DOUTS
HAMMOND, IN
NPI
1700174299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12011663A)
Enumeration Date
2011-07-18
Last Update Date
2017-01-04
Business Address
-- KEITH BRIAN DOUTS DDS
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324-2206
Phone number: 219-763-8112
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Mailing Address
-- KEITH BRIAN DOUTS DDS
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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