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Individual
GEORGE T GOUCHER
Active
Individual
GEORGE T GOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134674
LABOR & IND.
WA
05
—
8330862
—
WA
01
—
8924393
CRIME VICTIMS
WA
01
—
970017023
RR MEDICARE
—
Enumeration date
07/05/2005
Last updated
07/30/2012
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