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Individual

MR. PAUL ALAN DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4604
(719) 526-7120
Mailing address
1650 COCHRANE CIR, FT CARSON, CO 80913-4604
(719) 526-7120

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary

Other

Enumeration date
08/22/2024
Last updated
01/14/2025
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