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Individual

NICOLE JO GOBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9111 W RUSSELL RD STE A, LAS VEGAS, NV 89148-1245
(702) 312-3333
Mailing address
9111 W RUSSELL RD STE A, LAS VEGAS, NV 89148-1245
(702) 312-3333
(702) 312-1144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2596
NV

Other

Enumeration date
02/14/2022
Last updated
05/21/2026
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