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1164975850
MOLLY DAUGHERTY
TACOMA, WA
NPI
1164975850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60647267)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- MOLLY DAUGHERTY
1301 N HIGHLANDS PKWY
TACOMA, WA 98406-2116
Phone number: 253-228-9732
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Mailing Address
-- MOLLY DAUGHERTY
4560 SE INTERNATIONAL WAY SUITE 100
MILWAUKIE, OR 97222-4628
Phone number: 253-228-9732
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