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1548853765
JACOB NASH DOUGHERTY
ANN ARBOR, MI
NPI
1548853765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704313295)
Enumeration Date
2021-02-18
Last Update Date
2021-02-24
Business Address
JACOB NASH DOUGHERTY
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
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Mailing Address
JACOB NASH DOUGHERTY
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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