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1881967636
JOEL RYAN DOUGHERTY
SAINT CHARLES, MO
NPI
1881967636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2012004489)
Enumeration Date
2012-02-09
Last Update Date
2012-02-09
Business Address
-- JOEL RYAN DOUGHERTY DPT
1475 KISKER RD STE 150
SAINT CHARLES, MO 63304-8789
Phone number: 636-498-7474
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Mailing Address
-- JOEL RYAN DOUGHERTY DPT
1475 KISKER RD STE 150
SAINT CHARLES, MO 63304-8789
Phone number: 636-498-7474
Copy
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