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1881832822
MARY ELLEN GOUGH
CLINTON TOWNSHIP, MI
NPI
1881832822
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Other Name
MARY ELLEN MISCHEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501002209)
Enumeration Date
2009-01-29
Last Update Date
2009-01-29
Business Address
MARY ELLEN GOUGH P.T.
42536 HAYES RD STE 100
CLINTON TOWNSHIP, MI 48038-3644
Phone number: 586-286-9644
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Mailing Address
MARY ELLEN GOUGH P.T.
40644 SAINT LOUIS DR
CLINTON TOWNSHIP, MI 48038-7129
Phone number: 586-416-4429
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