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Individual
DR. JACOB GOATLEY
Active
Individual
DR. JACOB GOATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
57.249415
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.249415
OH
Other
Enumeration date
06/03/2020
Last updated
04/25/2024
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