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1295360501
KAITLIN DOUGLAS
PRINCETON, WV
NPI
1295360501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 105447)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
KAITLIN DOUGLAS
122 12TH ST
PRINCETON, WV 24740-2312
Phone number: 304-487-7000
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Mailing Address
KAITLIN DOUGLAS
608 NEW HOPE RD STE 1
PRINCETON, WV 24740-2287
Phone number: 304-425-1522
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