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1740207596
BRIAN EMMETT DOUGHERTY
TACOMA, WA
NPI
1740207596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA pt00004014)
Enumeration Date
2006-07-17
Last Update Date
2015-03-17
Business Address
Mr. BRIAN EMMETT DOUGHERTY PT
3209 S 23RD ST
TACOMA, WA 98405-1602
Phone number: 253-459-6999
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Mailing Address
Mr. BRIAN EMMETT DOUGHERTY PT
PO BOX 5299 M/S: 737-2-PHYS
TACOMA, WA 98415-0299
Phone number: 253-459-7970
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