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1902148596
LAURA DOUGLASS
PHILADELPHIA, PA
NPI
1902148596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: PA MD466826)
Enumeration Date
2013-03-21
Last Update Date
2019-05-30
Business Address
LAURA DOUGLASS
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-3375
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Mailing Address
LAURA DOUGLASS
2450 W HUNTING PARK AVE FL TASB3
PHILADELPHIA, PA 19129-1302
Phone number:
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