Individual
RUTH GOBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7969 OAK RUN CIR, LAKELAND, FL 33809-7253
(863) 608-0559
Mailing address
7969 OAK RUN CIR, LAKELAND, FL 33809-7253
(863) 608-0559
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9186048
FL
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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