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1124477377
CHELSEA GOUGH
CHARLOTTE, NC
NPI
1124477377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06438)
Enumeration Date
2016-06-08
Last Update Date
2017-02-27
Business Address
-- CHELSEA GOUGH
340 JAKE ALEXANDER BLVD. WEST SUITE 105
CHARLOTTE, NC 28203-5812
Phone number: 704-403-6240
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Mailing Address
-- CHELSEA GOUGH
PO BOX 602478
CHARLOTTE, NC 28260-2478
Phone number: 704-403-6240
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