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Individual

DARNELL DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4543 SANDLEWOOD DR, JACKSON, MS 39212-3412
(225) 746-3370
Mailing address
4543 SANDLEWOOD DR, JACKSON, MS 39212-3412
(225) 746-3370

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
146N00000X
Basic Emergency Medical Technician
Primary

Other

Enumeration date
09/22/2022
Last updated
09/22/2022
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