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1396722286
MICHAEL GOUGH
GREENVILLE, NC
NPI
1396722286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NC 102470)
Enumeration Date
2005-12-30
Last Update Date
2010-04-19
Business Address
MR. MICHAEL GOUGH PA-C
1800 W 5TH ST SUITES 2 & 4
GREENVILLE, NC 27834-2888
Phone number: 252-744-2207
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Mailing Address
MR. MICHAEL GOUGH PA-C
PO BOX 751069
CHARLOTTE, NC 28275-1069
Phone number: 252-744-3253
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