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1801401468
ANDREA DOUGHTY
BOWLING GREEN, KY
NPI
1801401468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY 168623)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
ANDREA DOUGHTY RD, CDCES
207 TRADITIONS BLVD
BOWLING GREEN, KY 42103-7957
Phone number: 270-901-3412
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Mailing Address
ANDREA DOUGHTY RD, CDCES
52 PARKVIEW AVE
NEWPORT, KY 41071-2362
Phone number: 859-250-8928
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