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1285018564
JASON DOUGHTY
CALVERT CITY, KY
NPI
1285018564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02674)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
-- JASON DOUGHTY PTA
186 BREEZE LANE
CALVERT CITY, KY 42029
Phone number: 270-898-2773
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Mailing Address
-- JASON DOUGHTY PTA
186 BREEZE LN
CALVERT CITY, KY 42029
Phone number: 270-933-8621
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