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Individual

LISA M GOEBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3325 KANGAROO BEACH RD, BAILEYS HARBOR, WI 54202-9061
(920) 609-6776
Mailing address
3325 KANGAROO BEACH RD, BAILEYS HARBOR, WI 54202-9061
(920) 609-6776

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
130115-30
WI

Other

Enumeration date
04/04/2017
Last updated
04/04/2017
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