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1205969938
KERRY ELIZABETH DOUGLAS
LAFAYETTE, LA
NPI
1205969938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: LA 0365208-37)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- KERRY ELIZABETH DOUGLAS RN
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4161
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Mailing Address
-- KERRY ELIZABETH DOUGLAS RN
114 BRIARMEADOW DR
LAFAYETTE, LA 70508-7210
Phone number: 337-856-1264
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