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1346807112
SHARESE JOELL DOUGLAS
NORFOLK, VA
NPI
1346807112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
SHARESE JOELL DOUGLAS LPTA
1015 W 47TH ST
NORFOLK, VA 23508
Phone number: 757-683-7041
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Mailing Address
SHARESE JOELL DOUGLAS LPTA
728 CORAPEAKE DR
CHESAPEAKE, VA 23322-7914
Phone number: 577-353-7653
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