Individual
MR. VANCE GOHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
2237 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 481-2257
(325) 481-2023
Mailing address
2237 S JACKSON ST, SAN ANGELO, TX 76904-5131
(325) 481-2257
(325) 481-2023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4588
TX
Other
Enumeration date
01/06/2017
Last updated
01/25/2021
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