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1043579667
MARK S DAUGHERITY
CASPER, WY
NPI
1043579667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-0500)
Enumeration Date
2012-05-16
Last Update Date
2012-05-16
Business Address
-- MARK S DAUGHERITY MPT
201 E 2ND ST SUITE 14
CASPER, WY 82601-2582
Phone number: 307-337-1624
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Mailing Address
-- MARK S DAUGHERITY MPT
201 E 2ND ST SUITE 14
CASPER, WY 82601-2582
Phone number:
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