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1225301161
MABELENE DOUGLAS
LITTLE ROCK, AR
NPI
1225301161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2012-02-22
Last Update Date
2012-02-22
Business Address
-- MABELENE DOUGLAS
5 REMINGTON DR
LITTLE ROCK, AR 72204-8202
Phone number: 501-850-8788
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Mailing Address
-- MABELENE DOUGLAS
5 REMINGTON DR
LITTLE ROCK, AR 72204-8202
Phone number:
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