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1588045538
JULIETTA DOUGLAS
SAN ANTONIO, TX
NPI
1588045538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1221176)
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
-- JULIETTA DOUGLAS
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 210-358-2710
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Mailing Address
-- JULIETTA DOUGLAS
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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