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1750320594
JASON A DOUGHERTY
WILMINGTON, DE
NPI
1750320594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0000625)
Enumeration Date
2006-06-06
Last Update Date
2007-07-08
Business Address
Mr. JASON A DOUGHERTY PTA
2801 LANCASTER AVE
WILMINGTON, DE 19805-5232
Phone number: 302-778-0810
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Mailing Address
Mr. JASON A DOUGHERTY PTA
334 PATRIOT DR
LOGAN TWP, NJ 08085-4254
Phone number: 856-241-1970
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