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1598281842
MARIA DANIELLE DOUGHERTY
JOHNSON CITY, TN
NPI
1598281842
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Other Name
DANIELLE DOUGHERTY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22834)
Enumeration Date
2017-08-18
Last Update Date
2023-12-18
Business Address
MARIA DANIELLE DOUGHERTY FNP-C
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604-2641
Phone number: 423-794-5520
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Mailing Address
MARIA DANIELLE DOUGHERTY FNP-C
PO BOX 3889
JOHNSON CITY, TN 37602-3889
Phone number: 423-794-2457
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