ALEXIS ANNE GOUGH

TWIN FALLS, ID
NPI1497426415
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  68870)
Enumeration Date2021-09-21
Last Update Date2021-12-06
Business Address
Ms. ALEXIS ANNE GOUGH
725 POLE LINE RD W
TWIN FALLS, ID 83301-5860
Phone number: 208-814-2400
Mailing Address
Ms. ALEXIS ANNE GOUGH
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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