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1750765418
CHRISTIAN DOUGLASS
LONG BEACH, CA
NPI
1750765418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-07-13
Last Update Date
2015-07-13
Business Address
-- CHRISTIAN DOUGLASS
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
-- CHRISTIAN DOUGLASS
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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