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1851866941
VANESSA DOUGHERTY
COSTA MESA, CA
NPI
1851866941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA OT17769)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
VANESSA DOUGHERTY OTR/L
2845 MESA VERDE DR E STE 9
COSTA MESA, CA 92626-4858
Phone number: 714-697-1907
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Mailing Address
VANESSA DOUGHERTY OTR/L
18685 MAIN ST STE 101-459
HUNTINGTON BEACH, CA 92648-1723
Phone number: 714-697-1907
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