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1932335312
DEANA JOY DOGHERRA
EGLIN, FL
NPI
1932335312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-05-30
Last Update Date
2009-05-30
Business Address
-- DEANA JOY DOGHERRA IDMT
307 BOATNER RD BLDG 2825
EGLIN, FL 32542-1391
Phone number: 850-883-8207
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Mailing Address
-- DEANA JOY DOGHERRA IDMT
307 BOATNER RD BLDG 2825
EGLIN, FL 32542-1391
Phone number: 850-883-8207
Copy