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1285250712
KAITLYN SUE MCGOUGH
EDWARDSVILLE, IL
NPI
1285250712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209023431)
Enumeration Date
2020-06-20
Last Update Date
2024-06-19
Business Address
Mrs. KAITLYN SUE MCGOUGH RN
6 HAIRPIN DR
EDWARDSVILLE, IL 62026-1000
Phone number: 618-650-3956
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Mailing Address
Mrs. KAITLYN SUE MCGOUGH RN
6 HAIRPIN DR
EDWARDSVILLE, IL 62026-1000
Phone number: 618-650-3956
Copy
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