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1154621498
CANDI MICHELLE DOULGAS
JOHNSON CITY, TN
NPI
1154621498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-11-02
Last Update Date
2010-11-02
Business Address
-- CANDI MICHELLE DOULGAS
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601-2872
Phone number: 423-928-5627
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Mailing Address
-- CANDI MICHELLE DOULGAS
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600
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