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1528683968
LAUREN GOUGH
GLEN ALLEN, VA
NPI
1528683968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213584)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
LAUREN GOUGH
9980 BROOK RD # 16A
GLEN ALLEN, VA 23059-6501
Phone number: 804-550-5730
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Mailing Address
LAUREN GOUGH
9980 BROOK RD # 16A
GLEN ALLEN, VA 23059-6501
Phone number: 804-550-5730
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