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1942274386
MARK PAUL DOUGHTY
NEWARK, OH
NPI
1942274386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT-000004)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
Mr. MARK PAUL DOUGHTY ATC
314 GRANVILLE ST
NEWARK, OH 43055-4483
Phone number: 740-328-2228
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Mailing Address
Mr. MARK PAUL DOUGHTY ATC
350 JEFFERSON RD
NEWARK, OH 43055-4539
Phone number: 740-366-5718
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