Individual
MS. DEBRA JEAN GOGUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 TOWNLINE RD STE 200, HAUPPAUGE, NY 11788-2833
(631) 943-1243
Mailing address
252 BAYVIEW DR S, OAKDALE, NY 11769-2239
(631) 312-4321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013998
NY
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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