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Individual

MRS. SHARON LISA DOHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
492 N FRANKLIN TPKE, RAMSEY, NJ 07446-1120
(201) 327-4704
Mailing address
285 WATER FOREST DR, DINGMANS FERRY, PA 18328-3439
(570) 828-8256
(570) 828-0836

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00102300
NJ
2255A2300X
Athletic Trainer
RT003343
PA

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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