Individual
MISS NATASHA GAIL GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13070 LEXINGTON SUMMIT ST, ORLANDO, FL 32828-4308
(478) 258-8457
Mailing address
13070 LEXINGTON SUMMIT ST, ORLANDO, FL 32828-4308
(478) 258-8457
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
06/20/2016
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