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Individual
DR. SHAWN JAMES DOUGLAS
Active
Individual
DR. SHAWN JAMES DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MHA
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 17419
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/10/2007
Last updated
04/02/2019
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