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Individual

NANCY FOX-GOUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
902 CLINT MOORE RD, BOCA RATON, FL 33487-2800
(561) 642-1002
Mailing address
22128 BRADDOCK PL, BOCA RATON, FL 33428-4292

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22373
FL

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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