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1053722934
JOHN DOUGHERTY
VALPARAISO, IN
NPI
1053722934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: IN 01091630A)
Enumeration Date
2014-05-14
Last Update Date
2024-03-17
Business Address
JOHN DOUGHERTY
56 WILLOW ST
VALPARAISO, IN 46383-4223
Phone number: 219-309-7254
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Mailing Address
JOHN DOUGHERTY
56 WILLOW ST
VALPARAISO, IN 46383-4223
Phone number:
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