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1164487344
TIMOTHY DOUGHERTY
CAPE CORAL, FL
NPI
1164487344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME76221)
Enumeration Date
2006-04-19
Last Update Date
2008-01-03
Business Address
-- TIMOTHY DOUGHERTY
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990-2668
Phone number: 239-772-6513
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Mailing Address
-- TIMOTHY DOUGHERTY
6896 W SNOWVILLE RD
BRECKSVILLE, OH 44141-3214
Phone number:
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