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1417949678
DAVID THOMAS DOUGLASS
BANGOR, ME
NPI
1417949678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ME OPT757)
Enumeration Date
2005-08-15
Last Update Date
2014-12-29
Business Address
Mr. DAVID THOMAS DOUGLASS OD
955 BROADWAY
BANGOR, ME 04401-2918
Phone number: 207-990-4388
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Mailing Address
Mr. DAVID THOMAS DOUGLASS OD
955 BROADWAY
BANGOR, ME 04401-2918
Phone number: 207-990-4388
Copy
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