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1457085987
KIERAN DOHERTY
CENTRALIA, WA
NPI
1457085987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA61487517)
Enumeration Date
2022-07-11
Last Update Date
2023-12-14
Business Address
KIERAN DOHERTY PA-C
914 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 360-736-2803
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Mailing Address
KIERAN DOHERTY PA-C
706 W FRANKLIN ST
SHELTON, WA 98584-2548
Phone number:
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