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1992221550
GREGORY SCOTT DOUGHERTY
NORTH CANTON, OH
NPI
1992221550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP001416L)
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
GREGORY SCOTT DOUGHERTY COTA/L
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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Mailing Address
GREGORY SCOTT DOUGHERTY COTA/L
11074 ALDINA DR
CONNEAUT LAKE, PA 16316-2718
Phone number: 814-382-2718
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