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1386732501
JOHN MICHAEL DAUGHERTY
BLOOMINGTON, MN
NPI
1386732501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN 7408)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- JOHN MICHAEL DAUGHERTY D.D.S.
8900 PENN AVE S SUITE 202
BLOOMINGTON, MN 55431-2068
Phone number: 952-888-1861
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Mailing Address
-- JOHN MICHAEL DAUGHERTY D.D.S.
8900 PENN AVE S SUITE 202
BLOOMINGTON, MN 55431-2068
Phone number: 952-888-1861
Copy
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