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1376391144
AMBER ALISE' GOUGH
LONG BEACH, CA
NPI
1376391144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95025320)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
AMBER ALISE' GOUGH
2600 REDONDO AVE
LONG BEACH, CA 90806-2325
Phone number: 310-629-6758
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Mailing Address
AMBER ALISE' GOUGH
2600 REDONDO AVE
LONG BEACH, CA 90806-2325
Phone number:
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