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1194072140
LORI ANN GOUGH ST JOHN
NEW YORK, NY
NPI
1194072140
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Former Name
LORI GOUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 015846)
Enumeration Date
2012-08-09
Last Update Date
2025-03-20
Business Address
LORI ANN GOUGH ST JOHN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
LORI ANN GOUGH ST JOHN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
Copy
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