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1104446962
JANICE DOUGLAS
BOSTON, MA
NPI
1104446962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 14083)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
JANICE DOUGLAS
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-6286
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Mailing Address
JANICE DOUGLAS
196 SWAMP JOHN RD
WELLS, ME 04090-6834
Phone number: 207-646-0898
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