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1467173443
RYAN DOUGHERTY
WILMINGTON, NC
NPI
1467173443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NC 0010-1249)
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
RYAN DOUGHERTY PA-C
3787 SHIPYARD BLVD
WILMINGTON, NC 28403-6148
Phone number: 910-909-4163
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Mailing Address
RYAN DOUGHERTY PA-C
311 ARBORETUM DR
WILMINGTON, NC 28405-6252
Phone number:
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