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1972247492
MADISON BROOKE GOUGH
FARMINGTON, CT
NPI
1972247492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
Miss MADISON BROOKE GOUGH
263 FARMINGTON AVE
FARMINGTON, CT 06030-0002
Phone number: 860-679-2000
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Mailing Address
Miss MADISON BROOKE GOUGH
263 FARMINGTON FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 832-917-8264
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