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1962167007
LAUREN GOUGH
BALTIMORE, MD
NPI
1962167007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 09457)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
LAUREN GOUGH OTR/L
3701 FERNHILL AVE
BALTIMORE, MD 21215-6133
Phone number: 410-396-0604
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Mailing Address
LAUREN GOUGH OTR/L
90 NORTHRIDGE DR
HANOVER, PA 17331-8485
Phone number: 717-688-0579
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