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1396111720
JACQULYN DOUGLAS
FLINT, MI
NPI
1396111720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2015-08-20
Last Update Date
2015-08-20
Business Address
Ms. JACQULYN DOUGLAS
304 W TOBIAS ST
FLINT, MI 48503-3975
Phone number: 810-233-4093
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Mailing Address
Ms. JACQULYN DOUGLAS
304 W TOBIAS ST
FLINT, MI 48503-3975
Phone number: 810-259-0808
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