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1801926167
SHANNON MARIE DOUGHERTY
PHILADELPHIA, PA
NPI
1801926167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Miss SHANNON MARIE DOUGHERTY RD
5501 OLD YORK RD HB-GROUND
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6649
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Mailing Address
Miss SHANNON MARIE DOUGHERTY RD
5501 OLD YORK RD HB-GROUND
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6649
Copy
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