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1497303416
JACOB A DOUGHERTY
LOS ANGELES, CA
NPI
1497303416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-03
Last Update Date
2024-03-26
Business Address
JACOB A DOUGHERTY
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010-1147
Phone number: 213-375-3830
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Mailing Address
JACOB A DOUGHERTY
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010-1147
Phone number:
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