Individual
AMANDA JO GOBLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N JACKSON AVE, SPRINGFIELD, MN 56087-1714
(507) 723-6201
Mailing address
69117 COUNTY ROAD 1, REDWOOD FALLS, MN 56283-3573
(507) 829-7795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9480
MN
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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