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Maya Gough
NPI 1942824545 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10284 W Virginia City St
Star, ID 83669 - Phone
- (208) 284-4922
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Female
- Record last updated
- 2020-05-31
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho