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1174309801
MALIA DOUGLAS
SAN DIEGO, CA
NPI
1174309801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95345230)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
MALIA DOUGLAS RN
5510 OVERLAND AVE
SAN DIEGO, CA 92123-1237
Phone number: 858-565-5981
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Mailing Address
MALIA DOUGLAS RN
3455 LADY HILL RD
SAN DIEGO, CA 92130-1807
Phone number: 858-663-1545
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