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Individual
DR. BENJAMIN LEE GOKENBACH
Active
Individual
DR. BENJAMIN LEE GOKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018031274
MO
111NR0400X
Rehabilitation Chiropractor
2018031274
MO
111NS0005X
Sports Physician Chiropractor
2018031274
MO
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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