Individual
JAKALYN JANE GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
614 EAKER ST, EDEN, TX 76837
(325) 869-5911
Mailing address
614 EAKER ST, EDEN, TX 76837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12637
TX
Other
Enumeration date
11/07/2019
Last updated
12/19/2019
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