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1609992155
RAYNELL DOUGLAS
INDIANAPOLIS, IN
NPI
1609992155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004180A)
Enumeration Date
2007-03-22
Last Update Date
2007-11-16
Business Address
-- RAYNELL DOUGLAS
4740 KINGSWAY DR
INDIANAPOLIS, IN 46205-1521
Phone number: 317-466-1000
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Mailing Address
-- RAYNELL DOUGLAS
5537 FJORD DR APT D
INDIANAPOLIS, IN 46250-1100
Phone number: 317-466-1000
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