Individual
JASON ANDREW GOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1263 OTTAWA AVE, WEST ST PAUL, MN 55118-2017
(612) 239-0193
Mailing address
1263 OTTAWA AVE, WEST ST PAUL, MN 55118-2017
(612) 239-0193
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
T020254820802
MN
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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