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1184344525
JEANNIE LASLO DOUGLAS
PORT ORANGE, FL
NPI
1184344525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL 4301)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
JEANNIE LASLO DOUGLAS AP, Dipl OM, ERYT
316 DUNLAWTON AVE
PORT ORANGE, FL 32127-4456
Phone number: 386-872-5757
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Mailing Address
JEANNIE LASLO DOUGLAS AP, Dipl OM, ERYT
1645 DUNLAWTON AVE APT 1924
PORT ORANGE, FL 32127-7923
Phone number: 541-639-2618
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