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1013621382
KATHLEEN MARY DOUGHERTY
CARMEL, IN
NPI
1013621382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
KATHLEEN MARY DOUGHERTY
1608 COOL CREEK DR
CARMEL, IN 46033-2321
Phone number: 317-696-1099
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Mailing Address
KATHLEEN MARY DOUGHERTY
1608 COOL CREEK DR
CARMEL, IN 46033-2321
Phone number: 317-696-1099
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