Individual
MARIAH LUCILLE GOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 RICHLAND AVE APT 274, ATHENS, OH 45701-3281
(989) 954-2657
Mailing address
363 RICHLAND AVE APT 274, ATHENS, OH 45701-3281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006160
OH
Other
Enumeration date
09/26/2019
Last updated
07/08/2020
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