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1982811279
MILES C. DOUGLAS
SARASOTA, FL
NPI
1982811279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL 10288)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- MILES C. DOUGLAS cota
1855 SANFORD CIR.
SARASOTA, FL 34234
Phone number: 321-271-1744
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Mailing Address
-- MILES C. DOUGLAS cota
357 CHEVELLE DR.
WEST MELBORNE, FL 32904
Phone number: 321-271-1744
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