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1124330089
MICAH DOUGLASS
PLYMOUTH MEETING, PA
NPI
1124330089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: PA 726181)
Enumeration Date
2010-07-08
Last Update Date
2010-07-08
Business Address
-- MICAH DOUGLASS rn, bsn
2250 HICKORY RD SUITE 240
PLYMOUTH MEETING, PA 19462-1047
Phone number: 610-834-1122
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Mailing Address
-- MICAH DOUGLASS rn, bsn
PO BOX 8361
PHILADELPHIA, PA 19101-8361
Phone number: 215-380-5858
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