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Individual

CARLY GOLDBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106
(319) 334-2583
Mailing address
2277 IOWA AVE, INDEPENDENCE, IA 50644-9106

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G154997
IA

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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