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Organization

JANET GOBROGGE CNP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET LOUISE GOBROGGE CNP (OWNER)
(330) 864-5100
Entity
Organization

Contact information

Practice address
3250 W MARKET ST, SUITE 210, FAIRLAWN, OH 44333-3336
(330) 864-5100
Mailing address
3250 W MARKET ST, SUITE 210, FAIRLAWN, OH 44333-3336
(330) 864-5100

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP 10445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061215
OH
Enumeration date
02/11/2016
Last updated
02/11/2016
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