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1013471143
IAN THOMAS DOUGLAS
SPRINGFIELD, MO
NPI
1013471143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2018014976)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
IAN THOMAS DOUGLAS PLPC
1358 E KINGSLEY ST STE E
SPRINGFIELD, MO 65804-7245
Phone number: 417-414-0333
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Mailing Address
IAN THOMAS DOUGLAS PLPC
1358 E KINGSLEY ST STE E
SPRINGFIELD, MO 65804-7245
Phone number: 417-414-0333
Copy
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