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1609474014
JENNIFER LOUISE GOUGH
BIRMINGHAM, AL
NPI
1609474014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: AL 8900)
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
JENNIFER LOUISE GOUGH RDH
5720 1ST AVE S
BIRMINGHAM, AL 35212-2522
Phone number: 205-380-9455
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Mailing Address
JENNIFER LOUISE GOUGH RDH
113 KNOLL CREST DR
BIRMINGHAM, AL 35209-6911
Phone number: 205-902-3055
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