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Mr. Terry K Douglas II
Driver in Clementon, New Jersey
NPI 1265119812

Terry K Douglas II is a Driver based in Clementon, NJ. Terry K Douglas II practices in Clementon, NJ. The NPI Number for Terry K Douglas II is 1265119812 and holds a License No. 2596292 (New Jersey).

The current practice location address for Terry K Douglas II is 124 Millbridge Rd, Clementon, NJ and can be reached out via phone at 856-619-6121.

Location: 124 Millbridge Rd, Clementon, NJ, 08021-5519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265119812
Provider Name
Terry K Douglas II
Credential
Provider Entity Type
Individual
Gender
Male
Address
124 Millbridge Rd, Clementon, NJ, 08021-5519
Phone Number
856-619-6121
Fax Number
Provider Enumeration Date
07/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
124 Millbridge Rd
City
Clementon
State
New Jersey
Zip
08021-5519
Phone Number
856-619-6121
Fax Number
person
Provider Business Mailing Address Details
Address
124 Millbridge Rd
City
Clementon
State
New Jersey
Zip
08021-5519
Phone Number
856-619-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
2596292 (New Jersey)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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