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Individual

DAVID L GOHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
110 2ND ST NW, ORANGE CITY, IA 51041-1413
(712) 737-2126
(712) 737-3022
Mailing address
PO BOX 108, ORANGE CITY, IA 51041-0108
(712) 737-2126
(712) 737-3022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1616
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151035
IA
Enumeration date
01/11/2007
Last updated
10/27/2007
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