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1407229594
JUSTIN WILFRED DOUGHERTY
NEW HYDE PARK, NY
NPI
1407229594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: NY 25005672)
Enumeration Date
2015-11-11
Last Update Date
2016-07-08
Business Address
Mr. JUSTIN WILFRED DOUGHERTY L.Ac
516 LAKEVILLE RD
NEW HYDE PARK, NY 11040-3006
Phone number: 516-993-1416
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Mailing Address
Mr. JUSTIN WILFRED DOUGHERTY L.Ac
PO BOX 769
NEW HYDE PARK, NY 11040-0769
Phone number: 516-993-1416
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