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1104672948
NATHAN DOUGHERTY
KANSAS CITY, MO
NPI
1104672948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
Dr. NATHAN DOUGHERTY DO
2301 HOLMES ST
KANSAS CITY, MO 64108-2640
Phone number: 816-404-4175
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Mailing Address
Dr. NATHAN DOUGHERTY DO
612 GARFIELD AVE APT 1012
KANSAS CITY, MO 64124-2289
Phone number: 913-832-0486
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