SHONDEL GOUGH

MIDVALE, UT
NPI1366619256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: UT  5341395-4202)
Enumeration Date2008-05-10
Last Update Date2008-05-10
Business Address
Mrs. SHONDEL GOUGH COTA/L
7442 S 240 E
MIDVALE, UT 84047-2191
Phone number: 801-641-1735
Mailing Address
Mrs. SHONDEL GOUGH COTA/L
7442 S 240 E
MIDVALE, UT 84047-2191
Phone number:
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