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1538674924
SAMANTHA VIOLA DOUGHERTY PETERS
KLAMATH FALLS, OR
NPI
1538674924
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Former Name
SAMANTHA VIOLA DOUGHERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA182657)
Enumeration Date
2017-12-06
Last Update Date
2022-11-16
Business Address
SAMANTHA VIOLA DOUGHERTY PETERS PA-C
2821 DAGGETT AVE STE 200
KLAMATH FALLS, OR 97601-1130
Phone number: 541-274-8400
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Mailing Address
SAMANTHA VIOLA DOUGHERTY PETERS PA-C
1939 VAN NESS AVE
KLAMATH FALLS, OR 97601-1879
Phone number:
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