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Individual

MRS. MARGARET LOUISE GOETTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4 MEMORIAL DR STE 130, ALTON, IL 62002-6704
(618) 463-7600
(618) 463-7601
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041524137
IL
363L00000X
Nurse Practitioner
Primary
209029301
IL

Other

Enumeration date
12/06/2023
Last updated
04/02/2024
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