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1083968770
JACOB O'DOUGHERTY
CONCORD, NH
NPI
1083968770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NH 1098)
Enumeration Date
2012-11-01
Last Update Date
2012-11-01
Business Address
-- JACOB O'DOUGHERTY
200 PLEASANT ST
CONCORD, NH 03301-2505
Phone number: 603-225-6644
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Mailing Address
-- JACOB O'DOUGHERTY
200 PLEASANT ST
CONCORD, NH 03301-2505
Phone number:
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