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1225707367
JAMES P DOUGHERTY
HOMESTEAD, FL
NPI
1225707367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: FL CRPS100236-A)
Enumeration Date
2021-09-11
Last Update Date
2021-09-11
Business Address
JAMES P DOUGHERTY CRPS
1020 N KROME AVE
HOMESTEAD, FL 33030-4411
Phone number: 786-243-1003
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Mailing Address
JAMES P DOUGHERTY CRPS
1020 N KROME AVE
HOMESTEAD, FL 33030-4411
Phone number: 786-243-1003
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