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1134114770
GERALD W DOHERTY
NORWICH, VT
NPI
1134114770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VT 055-0030712)
Enumeration Date
2005-09-20
Last Update Date
2008-06-03
Business Address
-- GERALD W DOHERTY PA-C
79 KERWIN HILL RD
NORWICH, VT 05055-9475
Phone number: 802-649-3225
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Mailing Address
-- GERALD W DOHERTY PA-C
79 KERWIN HILL RD
NORWICH, VT 05055-9475
Phone number: 802-649-3225
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