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Individual
LAUREN ASHLEY GOBERT
Active
Individual
LAUREN ASHLEY GOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365220801
—
TX
Enumeration date
10/17/2016
Last updated
02/02/2017
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