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Individual
REBECCA H GOOCH
Active
Individual
REBECCA H GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1-112103
AL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
1-112103
AL
363L00000X
Nurse Practitioner
1-112103
AL
Other
Enumeration date
01/22/2013
Last updated
01/31/2024
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