Individual
MRS. BETTY LOUISE GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
283 BLACKFEET TRL, WICHITA FALLS, TX 76310-8429
(940) 528-2319
Mailing address
283 BLACKFEET TRL, WICHITA FALLS, TX 76310-8429
(940) 528-2319
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
—
TX
Other
Enumeration date
04/07/2007
Last updated
07/21/2022
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