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1508629031
SHANNAN T DOHERTY
PLYMOUTH, MA
NPI
1508629031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MA RN2270011)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
SHANNAN T DOHERTY NP-C
44 ALDEN ST
PLYMOUTH, MA 02360-4515
Phone number: 339-832-1064
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Mailing Address
SHANNAN T DOHERTY NP-C
44 ALDEN ST
PLYMOUTH, MA 02360-4515
Phone number: 339-832-1064
Copy
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