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1457068934
MICHELLE DANUTA DOUGLASS
HUNTSVILLE, AL
NPI
1457068934
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Former Name
MICHELLE DANUTA MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA-2057)
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
MICHELLE DANUTA DOUGLASS PA-C
201 GOVERNORS DR SW
HUNTSVILLE, AL 35801-5170
Phone number: 256-533-1600
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Mailing Address
MICHELLE DANUTA DOUGLASS PA-C
30 GATES MILL ST APT 939
HUNTSVILLE, AL 35806-5382
Phone number: 706-536-4945
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