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Individual

KYLIE GAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CFY-SLP

Contact information

Practice address
402 N SANTA FE ST, ST JOHN, KS 67576-1800
(620) 549-3541
Mailing address
708 N MAIN ST, ST JOHN, KS 67576-1534

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KS

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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