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1871995324
SKIN CANCER & COSMETIC DERMATOLOGY CENTER
ANGOLA, IN
NPI
1871995324
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Entity Type
Organization
Authorized Contact
DONN ALAN LATOUR
Owner
2696-601-6710
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01074279A)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
SKIN CANCER & COSMETIC DERMATOLOGY CENTER
306 E MAUMEE ST SUITE 301 - CAMERON MEDICAL OFFICE BUILDING
ANGOLA, IN 46703-2038
Phone number: 269-660-1670
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Mailing Address
SKIN CANCER & COSMETIC DERMATOLOGY CENTER
7070 E DRIVE NORTH C/O DSSC
BATTLE CREEK, MI 49014
Phone number: 269-660-1670
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