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1154651719
LAURA LYNNE GOULBOURNE
EVANSVILLE, IN
NPI
1154651719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: KY 002881)
Enumeration Date
2010-01-05
Last Update Date
2020-04-13
Business Address
LAURA LYNNE GOULBOURNE BS
415 CROSSLAKE DR STE B
EVANSVILLE, IN 47715-8272
Phone number: 812-476-0409
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Mailing Address
LAURA LYNNE GOULBOURNE BS
PO BOX 5629
EVANSVILLE, IN 47716-5629
Phone number: 502-882-9379
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