Individual
COLIN GOBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6107 EDGEHILL DR, EL DORADO HILLS, CA 95762-5475
(916) 673-8105
Mailing address
6107 EDGEHILL DR, EL DORADO HILLS, CA 95762-5475
(916) 673-8105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660019
CA
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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