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Debra Jean Goguen

Massage Therapist in Hauppauge, NY. Individual provider (NPI-1).

NPI number1043926595
StatusActive
Last updated in NPPESJan 27, 2023

Details

NPI
1043926595
Entity type
Individual (NPI-1)
Name
Ms. Debra Jean Goguen
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2023
Certification date
Jan 27, 2023
Last updated
Jan 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist013998NYYes

Practice location

527 Townline Rd Ste 200
Hauppauge, NY 11788-2833

Phone 631-943-1243

Mailing address

252 Bayview Dr S
Oakdale, NY 11769-2239

Phone 631-312-4321

Other practice locations

216 Carleton Ave
East Islip, NY 11730-1222

Phone 631-859-3900

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