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1689312712
COREY S DOUGLAS
FORT BLISS, TX
NPI
1689312712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-27
Last Update Date
2022-10-06
Business Address
COREY S DOUGLAS DO
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576
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Mailing Address
COREY S DOUGLAS DO
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906-5327
Phone number: 915-742-0576
Copy
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