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1386890085
ANGELA LAROSE DOUGLAS
MEMPHIS, TN
NPI
1386890085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: TN 227)
Enumeration Date
2008-08-13
Last Update Date
2008-08-13
Business Address
-- ANGELA LAROSE DOUGLAS
1076 CHAMBLISS RD
MEMPHIS, TN 38116-6381
Phone number: 901-348-2273
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Mailing Address
-- ANGELA LAROSE DOUGLAS
3274 LANSING DR
MEMPHIS, TN 38115-3016
Phone number:
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