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1821866302
IAN DOUGLAS
LOS ANGELES, CA
NPI
1821866302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-12-14
Last Update Date
2024-02-14
Business Address
IAN DOUGLAS
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 818-224-9545
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Mailing Address
IAN DOUGLAS
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number:
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