Individual
MR. JAMES HAROLD DOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3840 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 483-2422
(260) 471-0788
Mailing address
9701 BRUSH COLLEGE RD, WOODBURN, IN 46797-9770
(260) 657-5663
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0242619
IN
163W00000X
Registered Nurse
28068712A
IN
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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