Individual
DANIEL GOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4204 POSSUM RUN CT W, COLUMBUS, OH 43224-6820
(614) 556-1089
Mailing address
4204 POSSUM RUN CT W, COLUMBUS, OH 43224-6820
(614) 556-1089
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152770
OH
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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