Individual
STACEY LYNN GOBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3852 HAMMOND AVE, WATERLOO, IA 50702-5618
(319) 235-4358
(319) 235-8061
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000964
IA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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