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Individual

DR. JULIE ANN GOMER

Active
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Individual

DR. JULIE ANN GOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DBH

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
CC01538
MN
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist

Other

Enumeration date
12/26/2011
Last updated
08/08/2017
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