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1457415432
M KIRK DOUGHER
PROVO, UT
NPI
1457415432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: UT 4849737-2501)
Enumeration Date
2006-12-21
Last Update Date
2007-07-08
Business Address
Dr. M KIRK DOUGHER Ph.D.
1500 WSC
PROVO, UT 84602
Phone number: 801-319-9226
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Mailing Address
Dr. M KIRK DOUGHER Ph.D.
1500 WSC
PROVO, UT 84602
Phone number: 801-319-9226
Copy
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