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1205814076
JESSICA LYNN DOUGLAS
BOSTON, MA
NPI
1205814076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 15461)
Enumeration Date
2006-01-03
Last Update Date
2007-07-08
Business Address
JESSICA LYNN DOUGLAS MSPT
654 BEACON ST 2ND FLOOR
BOSTON, MA 02215-2099
Phone number: 617-536-1161
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Mailing Address
JESSICA LYNN DOUGLAS MSPT
8A SHORE AVE
QUINCY, MA 02169-2439
Phone number: 617-571-5564
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