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1134239924
JEAN ELIZABETH DOUGHERTY
CLACKAMAS, OR
NPI
1134239924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OR OR097006659CRNA)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- JEAN ELIZABETH DOUGHERTY CRNA
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-652-2880
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Mailing Address
-- JEAN ELIZABETH DOUGHERTY CRNA
15106 OYER DR
OREGON CITY, OR 97045-7249
Phone number: 503-657-5603
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