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Individual
MS. TEPHANIE DOUBI
Active
Individual
MS. TEPHANIE DOUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT,CLT,LLCC
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
KT12101681
CA
174400000X
Specialist
Primary
KT12101681
CA
225700000X
Massage Therapist
17132
CA
Other
Enumeration date
06/02/2011
Last updated
06/04/2011
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