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1366078784
MATTHEW DAUGHERTY
FREDERICKSBURG, VA
NPI
1366078784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024179009)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
MATTHEW DAUGHERTY FNP
1511 JEFFERSON DAVIS HWY
FREDERICKSBURG, VA 22401-4631
Phone number: 866-389-7272
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Mailing Address
MATTHEW DAUGHERTY FNP
12991 ORLEANS ST
WOODBRIDGE, VA 22192-3723
Phone number: 347-571-1312
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