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1700232444
KELLY MCGOUGH
OAK PARK HEIGHTS, MN
NPI
1700232444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- KELLY MCGOUGH
5803 NEAL AVE N
OAK PARK HEIGHTS, MN 55082-2177
Phone number: 651-439-8807
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Mailing Address
-- KELLY MCGOUGH
153 PARKVIEW DR
LINO LAKES, MN 55014-1299
Phone number:
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