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1811416951
HEATHER MICHAELA DOUGLAS
LUBBOCK, TX
NPI
1811416951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11486)
Enumeration Date
2017-09-10
Last Update Date
2021-02-12
Business Address
HEATHER MICHAELA DOUGLAS PA-C
602 INDIANA AVE
LUBBOCK, TX 79415-3364
Phone number: 806-761-0566
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Mailing Address
HEATHER MICHAELA DOUGLAS PA-C
5219 CITY BANK PKWY STE 35
LUBBOCK, TX 79407-3545
Phone number: 806-761-0360
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