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1467452813
EDWARD R DOUGLAS
SPRINGFIELD, MO
NPI
1467452813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: MO 2002013903)
Enumeration Date
2005-07-28
Last Update Date
2011-04-23
Business Address
Dr. EDWARD R DOUGLAS D.O.
3829 S JEFFERSON AVE
SPRINGFIELD, MO 65807-5376
Phone number: 417-890-5585
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Mailing Address
Dr. EDWARD R DOUGLAS D.O.
3829 S JEFFERSON AVE
SPRINGFIELD, MO 65807-5376
Phone number: 417-890-5585
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