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1982943494
JACQUELINE A GOUGE
MARINETTE, WI
NPI
1982943494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 5222-33)
Enumeration Date
2013-02-04
Last Update Date
2014-03-19
Business Address
-- JACQUELINE A GOUGE APNP
2741 ROOSEVELT RD
MARINETTE, WI 54143-3833
Phone number: 715-732-1392
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Mailing Address
-- JACQUELINE A GOUGE APNP
3120 RIVERSIDE AVE GATE B BUILDING 1
MARINETTE, WI 54143-1123
Phone number: 715-732-2078
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