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1073067765
JACOB EDWARD GOUGH
WASHINGTON, DC
NPI
1073067765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: DC MT1418)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
Mr. JACOB EDWARD GOUGH
1330 U ST NW #300
WASHINGTON, DC 20009-7991
Phone number: 202-888-5595
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Mailing Address
Mr. JACOB EDWARD GOUGH
1330 U ST NW #300
WASHINGTON, DC 20009-7991
Phone number: 202-888-5595
Copy
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