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1720481526
CORRINE LEE DOUGLAS
SANTA CRUZ, CA
NPI
1720481526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: CA NP95001430)
Enumeration Date
2014-10-07
Last Update Date
2024-05-10
Business Address
CORRINE LEE DOUGLAS NP
1510 CAPITOLA RD
SANTA CRUZ, CA 95062-2912
Phone number: 831-427-3500
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Mailing Address
CORRINE LEE DOUGLAS NP
PO BOX 542
SANTA CRUZ, CA 95061-0542
Phone number: 831-427-3500
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