COLLEEN DAUGHERTY

SHEPPARD AFB, TX
NPI1659359412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: FL  OT3334)
Enumeration Date2006-01-03
Last Update Date2007-07-08
Business Address
-- COLLEEN DAUGHERTY
149 HART ST 82 MEDICAL GROUP/CREDENTIALS
SHEPPARD AFB, TX 76311-3477
Phone number: 940-676-6960
Mailing Address
-- COLLEEN DAUGHERTY
3509 COPPERAS CV
WICHITA FALLS, TX 76310-1121
Phone number: 940-692-5446
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