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1376233189
SHANNON MARIE DOUGHERTY
BUFFALO, NY
NPI
1376233189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 351180)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
SHANNON MARIE DOUGHERTY NP
31 TAMARACK ST APT 106C
BUFFALO, NY 14220-1780
Phone number: 716-860-4834
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Mailing Address
SHANNON MARIE DOUGHERTY NP
31 TAMARACK ST APT 106C
BUFFALO, NY 14220-1780
Phone number: 716-860-4834
Copy
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