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1659941706
TAYLAN JADE DOHERTY
DURHAM, NC
NPI
1659941706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P20162)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
TAYLAN JADE DOHERTY
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-681-2030
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Mailing Address
TAYLAN JADE DOHERTY
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-681-2030
Copy
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