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Individual
NICOLE R GOBEN
Active
Individual
NICOLE R GOBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-112680
OH
164X00000X
Licensed Vocational Nurse
PN-112680
OH
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN-112680
LPN
OH
Enumeration date
08/13/2012
Last updated
08/13/2012
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