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1457823643
EVAN JOSEPH DOUGHERTY
SANTA MARIA, CA
NPI
1457823643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
Mr. EVAN JOSEPH DOUGHERTY
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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Mailing Address
Mr. EVAN JOSEPH DOUGHERTY
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Copy
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