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Individual
STEPHEN TYLER DOUGHERTY
Active
Individual
STEPHEN TYLER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
30871
OR
231H00000X
Audiologist
Primary
AT006791
PA
Other
Enumeration date
06/25/2020
Last updated
01/24/2024
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