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Individual

BRENDA L DAUGHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 2ND AVE SPC 6A, GOLD HILL, OR 97525-9728
(541) 728-8428
Mailing address
1550 2ND AVE SPC 6A, GOLD HILL, OR 97525-9728

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/16/2022
Last updated
02/16/2022
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