Individual
KATHY GAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 W 24TH ST, LORAIN, OH 44052-4622
(440) 522-0597
Mailing address
1106 W 24TH ST, LORAIN, OH 44052-4622
(440) 522-0597
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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