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1780900399
RYAN ANDREW DOUGHERTY
NORFOLK, VA
NPI
1780900399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
-- RYAN ANDREW DOUGHERTY CP
6320 N CENTER DR BLDG#15, STE #201
NORFOLK, VA 23502-4009
Phone number: 757-892-5300
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Mailing Address
-- RYAN ANDREW DOUGHERTY CP
6320 N CENTER DR BLDG#15, STE #201
NORFOLK, VA 23502-4009
Phone number: 757-892-5300
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