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1649688383
LAURIE GOUGH
MELBOURNE, FL
NPI
1649688383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA13103)
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- LAURIE GOUGH
1101 W HIBISCUS BLVD STE 201
MELBOURNE, FL 32901-2719
Phone number: 321-432-2572
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Mailing Address
-- LAURIE GOUGH
5225 BALSAM AVE
WEST MELBOURNE, FL 32904-2533
Phone number: 321-412-3430
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