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1356978449
THOMAS MICHAEL DOUGHERTY
PEMBROKE PINES, FL
NPI
1356978449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-26
Last Update Date
2020-04-20
Business Address
THOMAS MICHAEL DOUGHERTY
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028-1006
Phone number: 954-844-1402
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Mailing Address
THOMAS MICHAEL DOUGHERTY
5430 BRANDY CIR E
FORT MYERS, FL 33919-2251
Phone number: 239-247-0209
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