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1114762853
JONATHAN PATRICK DOUGHERTY
LOMA LINDA, CA
NPI
1114762853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
103TH0004X Psychologist, Health
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
JONATHAN PATRICK DOUGHERTY PsyD
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-825-7084
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Mailing Address
JONATHAN PATRICK DOUGHERTY PsyD
20335 DAMIETTA DR
WALNUT, CA 91789-3723
Phone number:
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