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1730442864
BRENDAN JOSEPH DOUGHERTY
MADISON, WI
NPI
1730442864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11932-24)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
-- BRENDAN JOSEPH DOUGHERTY
600 HIGHLAND AVE MC 2433
MADISON, WI 53792
Phone number: 608-662-0817
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Mailing Address
-- BRENDAN JOSEPH DOUGHERTY
600 HIGHLAND AVE MC 2433
MADISON, WI 53792
Phone number: 608-662-0817
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