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Individual

MISS ANDREA GOCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6358 EDGEMERE BLVD, EL PASO, TX 79925-3517
(915) 562-8525
Mailing address
12065 WATERSIDE DR, EL PASO, TX 79936-0346
(915) 245-7093

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
TX
222Q00000X
Developmental Therapist
225100000X
Physical Therapist
Primary
1314972
TX

Other

Enumeration date
10/04/2013
Last updated
02/18/2019
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