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1164643250
TIANA MARIE DOUGLAS
DUARTE, CA
NPI
1164643250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14752)
Enumeration Date
2007-05-02
Last Update Date
2024-10-08
Business Address
MRS. TIANA MARIE DOUGLAS PA-C
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 800-826-4673
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Mailing Address
MRS. TIANA MARIE DOUGLAS PA-C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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