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1174818884
JERROLD RAY DAUGHERTY
FORT HOOD, TX
NPI
1174818884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2011-06-10
Last Update Date
2011-06-10
Business Address
-- JERROLD RAY DAUGHERTY PA
36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544-4752
Phone number: 254-288-8025
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Mailing Address
-- JERROLD RAY DAUGHERTY PA
36000 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544-4752
Phone number:
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