LISA DOUGHERTY

FAIRMONT, WV
NPI1063016475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-11-25
Last Update Date2020-11-25
Business Address
LISA DOUGHERTY
503 MORGANTOWN AVE
FAIRMONT, WV 26554-4388
Phone number: 304-363-7375
Mailing Address
LISA DOUGHERTY
217 HECKS RUN RD
FAIRMONT, WV 26554-2277
Phone number: 304-363-6280
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