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1851424311
ROGER DOUGHERTY
TACOMA, WA
NPI
1851424311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: WA PT00007101)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. ROGER DOUGHERTY PT
MADIGAN ARMY MEDICAL CTR
TACOMA, WA 98431-0001
Phone number: 253-968-1157
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Mailing Address
Mr. ROGER DOUGHERTY PT
21016 137TH AVENUE CT E
GRAHAM, WA 98338-6627
Phone number:
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