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Individual

DEBORAH RENEE GOSTOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
102 W WASHINGTON AVE, EFFINGHAM, IL 62401-2354
(217) 347-7234
Mailing address
5283 WHALEY ST, MULKEYTOWN, IL 62865-3237
(618) 927-1882

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2081
IL

Other

Enumeration date
01/12/2007
Last updated
07/08/2007
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