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Individual

CAROL ANN GOEKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1209 WOODROW AVE STE B10, MODESTO, CA 95350-1273
(209) 558-5312
(209) 558-5310
Mailing address
1209 WOODROW AVE STE B10, MODESTO, CA 95350-1273
(209) 558-5312
(209) 558-5310

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP8719
CA

Other

Enumeration date
12/28/2007
Last updated
03/18/2011
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