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Individual

JOSHUA AARON GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-AGCNS

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-8376
Mailing address
671 OLD HIGHWAY 48, CLARKSVILLE, TN 37040-8691
(610) 850-3946

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
AP133925
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP133925
TX

Other

Enumeration date
01/19/2018
Last updated
01/19/2018
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