Individual
JORDAN GOSZTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W UNIVERSITY AVE, HEALTH AND PHYSICAL ACTIVITY BUILDING, MUNCIE, IN 47306-1022
(765) 285-3223
Mailing address
1900 W JACKSON ST, MUNCIE, IN 47303-4854
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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