KURT W. DOUGHERTY

FORT WAYNE, IN
NPI1295727519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IN  1800214R)
Enumeration Date2005-08-23
Last Update Date2008-06-18
Business Address
Dr. KURT W. DOUGHERTY OD
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-422-6396
Mailing Address
Dr. KURT W. DOUGHERTY OD
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-422-6396
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