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1598336828
JACQUELYN SMITH-DOUGLAS
COSTA MESA, CA
NPI
1598336828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA F07210327)
Enumeration Date
2021-07-07
Last Update Date
2022-12-29
Business Address
JACQUELYN SMITH-DOUGLAS FNP
150 PAULARINO AVE
COSTA MESA, CA 92626-3301
Phone number: 949-556-3433
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Mailing Address
JACQUELYN SMITH-DOUGLAS FNP
8441 RENWICK DR
CORONA, CA 92883-5931
Phone number: 323-251-0477
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