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Individual

DOUGLAS ALAN JEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9 N 9TH ST, APT. #305, PHILADELPHIA, PA 19107-3121
(512) 767-4340
Mailing address
9 N 9TH ST, APT. #305, PHILADELPHIA, PA 19107-3121
(512) 767-4340

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/18/2013
Last updated
05/26/2016
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