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1043450109
MARY ANN DAUGHERTY
JEFFERSON CITY, MO
NPI
1043450109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 02034)
Enumeration Date
2009-03-03
Last Update Date
2009-03-03
Business Address
-- MARY ANN DAUGHERTY RPT
1030 EDMONDS ST
JEFFERSON CITY, MO 65109-5213
Phone number: 615-896-6400
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Mailing Address
-- MARY ANN DAUGHERTY RPT
310 SMOKY MOUNTAIN CT
COLUMBIA, MO 65203-8001
Phone number: 615-896-6400
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