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1336798586
ERICA RENEE DOUGLAS
SANTA MONICA, CA
NPI
1336798586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 693140)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
ERICA RENEE DOUGLAS LVN
1865 9TH ST
SANTA MONICA, CA 90404-4501
Phone number: 310-314-6200
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Mailing Address
ERICA RENEE DOUGLAS LVN
19635 VICTORY BLVD
RESEDA, CA 91335-6621
Phone number: 213-435-2139
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