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Individual

DR. JACQUELYNN MICHELLE GOULD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-2920
Mailing address
2030 W MOUNTAIN VIEW AVE, SUITE 250, LONGMONT, CO 80501-3178
(303) 651-5302

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44789
CO
208M00000X
Hospitalist Physician
Primary
30619
NE

Other

Enumeration date
02/22/2007
Last updated
03/29/2018
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