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1518310861
JATAVIA DOUGLAS
SAN MARCOS, TX
NPI
1518310861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2016-07-21
Last Update Date
2016-07-21
Business Address
-- JATAVIA DOUGLAS
1655 MILL ST APT 825
SAN MARCOS, TX 78666-6862
Phone number: 254-495-6433
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Mailing Address
-- JATAVIA DOUGLAS
1655 MILL ST APT 825
SAN MARCOS, TX 78666-6862
Phone number: 254-495-6433
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