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1982095444
MARK WILLIAM DOUGHTY
ANCHORAGE, AK
NPI
1982095444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 1508)
Enumeration Date
2015-02-05
Last Update Date
2015-02-06
Business Address
-- MARK WILLIAM DOUGHTY FNP-BC
4050 LAKE OTIS PKWY STE 210
ANCHORAGE, AK 99508-5221
Phone number: 907-244-3694
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Mailing Address
-- MARK WILLIAM DOUGHTY FNP-BC
2740 KEMPTON HILLS DR
ANCHORAGE, AK 99516-2776
Phone number: 907-244-3694
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