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1376631812
RYAN CONOR GOUGH
APO, AE
NPI
1376631812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 5495)
Enumeration Date
2006-10-10
Last Update Date
2018-04-12
Business Address
RYAN CONOR GOUGH M.D.
RAF LAKENHEATH 48 MDG/SGHC UNIT 5115
APO, AE 09464-5115
Phone number: 314-226-8852
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Mailing Address
RYAN CONOR GOUGH M.D.
PSC 41 BOX 6082
APO, AE 09464-0061
Phone number: 314-238-2143
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