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1376012179
ALLISON GAUGHAN
SAN JOSE, CA
NPI
1376012179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA 6704)
Enumeration Date
2018-11-21
Last Update Date
2018-11-21
Business Address
ALLISON GAUGHAN MS, OTR/L
1101 S WINCHESTER BLVD STE E155
SAN JOSE, CA 95128-3903
Phone number: 408-379-0245
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Mailing Address
ALLISON GAUGHAN MS, OTR/L
325 UNION AVE APT 251
CAMPBELL, CA 95008-4265
Phone number:
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