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1215323548
MICHELLE GOUGH
BUFFALO, NY
NPI
1215323548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 10 239066)
Enumeration Date
2015-04-14
Last Update Date
2015-04-14
Business Address
MICHELLE GOUGH LPN
1300 NIAGARA ST
BUFFALO, NY 14213-1503
Phone number: 716-882-2127
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Mailing Address
MICHELLE GOUGH LPN
1300 NIAGARA ST
BUFFALO, NY 14213-1503
Phone number: 716-882-2127
Copy
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