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Individual

DR. JUDITH DOUGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
400 KINGS MALL CT, KINGSTON, NY 12401-1578
(845) 331-1103
(845) 331-1104
Mailing address
8 ARNOLD DR, WOODSTOCK, NY 12498-1701
(845) 679-0093
(845) 331-1104

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008507
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C085078B
WORKERS COMP
Enumeration date
12/11/2006
Last updated
02/26/2019
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