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1790264976
JENNIFER L DOUGLAS
CLINTON, NY
NPI
1790264976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
JENNIFER L DOUGLAS
19 ROBINSON RD
CLINTON, NY 13323-1418
Phone number: 315-853-6090
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Mailing Address
JENNIFER L DOUGLAS
954 PHILLIP RD
FORT PLAIN, NY 13339-3858
Phone number: 315-853-6090
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