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1407849870
EDWARD M. DOHERTY
BELMONT, MA
NPI
1407849870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 1549)
Enumeration Date
2005-08-31
Last Update Date
2007-07-08
Business Address
Mr. EDWARD M. DOHERTY A.T.,C
350 PROSPECT ST
BELMONT, MA 02478-2656
Phone number: 617-484-4410
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Mailing Address
Mr. EDWARD M. DOHERTY A.T.,C
42 PATCH HILL LN
MILFORD, NH 03055-4155
Phone number: 603-672-1302
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