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1790847598
DOUGLAS EDWARDS
HIXSON, TN
NPI
1790847598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 7617)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
-- DOUGLAS EDWARDS
5756 HIGHWAY 153
HIXSON, TN 37343-6703
Phone number: 423-875-9374
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Mailing Address
-- DOUGLAS EDWARDS
5756 HIGHWAY 153
HIXSON, TN 37343-6703
Phone number: 423-875-9374
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