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Individual

LEROY T DONOUGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
140 W BISHOP ST, BELLEFONTE, PA 16823-1927
(814) 355-7731
Mailing address
620 E CURTIN ST, BELLEFONTE, PA 16823-2119
(814) 355-1483

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS17584L
PA

Other

Enumeration date
06/09/2007
Last updated
07/08/2007
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