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Individual

EMILY N GAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 TUMWATER BLVD SE STE C213, TUMWATER, WA 98501-6400
(360) 706-2674
Mailing address
2125 BARNES CT SW APT 307, TUMWATER, WA 98512-1459
(219) 617-5479

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61134243
WA

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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