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Individual

CHELSEA Y GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
788 SHREWSBURY AVE, SUITE 103, TINTON FALLS, NJ 07724-3080
(732) 758-1800
Mailing address
18 OSPREY LN, RUMSON, NJ 07760-1821
(352) 359-8297

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
03/18/2011
Last updated
03/18/2011
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