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1417976283
MARTIN K. DOUGLAS
CHARLESTON, WV
NPI
1417976283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV 366)
Enumeration Date
2006-07-19
Last Update Date
2007-08-27
Business Address
Mr. MARTIN K. DOUGLAS OT
313 MACCORKLE AVE SW
CHARLESTON, WV 25303-1263
Phone number: 304-744-2300
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Mailing Address
Mr. MARTIN K. DOUGLAS OT
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5890
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