JASON ROBERT GOUGH

LONGVIEW, TX
NPI1598983215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1148230)
Enumeration Date2007-04-20
Last Update Date2020-05-05
Business Address
MR. JASON ROBERT GOUGH MS PT CBIS
3202 4TH ST
LONGVIEW, TX 75605-5217
Phone number: 903-753-6635
Mailing Address
MR. JASON ROBERT GOUGH MS PT CBIS
4002 TECHNOLOGY CTR
LONGVIEW, TX 75605-2697
Phone number: 903-247-0484
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