Mrs. Julie Diane Gough, DT
Mrs. Julie Diane Gough, DT is a Specialist in Ashmore, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
915 S Iowa StAshmore, IL 61912-9543
Phone: (217) 232-8695
Fax: (217) 349-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1518170554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DT |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | July 8, 2007 |