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Individual

DR. DOUG FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
HCR1 5762, KEAAU, HI 96749
(808) 345-2235
Mailing address
17-1654 41ST AVE., KEAAU, HI 96749

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND 058
HI

Other

Enumeration date
03/06/2007
Last updated
07/08/2007
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