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1497246011
MICHAEL DOUGLAS
MONROE, LA
NPI
1497246011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
MICHAEL DOUGLAS
2116 JUSTICE ST
MONROE, LA 71201-3618
Phone number: 318-807-2025
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Mailing Address
MICHAEL DOUGLAS
2116 JUSTICE ST
MONROE, LA 71201-3618
Phone number: 318-807-2025
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