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1376915181
ANTHONY DOUGLAS
DETROIT, MI
NPI
1376915181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
-- ANTHONY DOUGLAS
11068 CLOVERLAWN ST
DETROIT, MI 48204-1072
Phone number: 313-931-0107
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Mailing Address
-- ANTHONY DOUGLAS
11068 CLOVERLAWN ST
DETROIT, MI 48204-1072
Phone number: 313-931-0107
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