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1154783199
KYLI GOUGH
TWIN FALLS, ID
NPI
1154783199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-781)
Enumeration Date
2016-03-28
Last Update Date
2016-03-28
Business Address
-- KYLI GOUGH RDN, LD
496 SHOUP AVE W STE A
TWIN FALLS, ID 83301-5043
Phone number: 208-814-9182
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Mailing Address
-- KYLI GOUGH RDN, LD
PO BOX 599
SHOSHONE, ID 83352-0599
Phone number:
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