Individual
MR. JESSE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1744 OLD HIGHWAY 23 W, OGILVIE, MN 56358-3704
(920) 889-9408
Mailing address
1744 OLD HIGHWAY 23 W, OGILVIE, MN 56358-3704
(320) 459-8243
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
BC741869
MN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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