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1194867754
CARLA LOUISE DOUGLAS
O FALLON, MO
NPI
1194867754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2001033078)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Mrs. CARLA LOUISE DOUGLAS OTRL
20 FAWN OAKS DR
O FALLON, MO 63366-1071
Phone number: 314-452-4947
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Mailing Address
Mrs. CARLA LOUISE DOUGLAS OTRL
20 FAWN OAKS DR
O FALLON, MO 63366-1071
Phone number: 314-452-4947
Copy
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