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Individual

KEYAIRA DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1080 N DELAWARE AVE STE 300D, PHILADELPHIA, PA 19125-4335
(215) 287-2114
Mailing address
5545 ELLIOTT ST, PHILADELPHIA, PA 19143-4010
(267) 312-6419

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN709800
PA

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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