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1689256380
BROOKLYN HELENE DOUGLAS
SAN DIEGO, CA
NPI
1689256380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
BROOKLYN HELENE DOUGLAS
1031 25TH ST
SAN DIEGO, CA 92102-2102
Phone number: 619-232-6454
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Mailing Address
BROOKLYN HELENE DOUGLAS
3455 KEARNY VILLA RD APT 432
SAN DIEGO, CA 92123-1985
Phone number: 925-960-3262
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