Individual
MARIANNE GOSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSEDUC,LAT,ATC
Contact information
Practice address
1137 N 19TH ST, ELWOOD, IN 46036-1376
(765) 552-9854
Mailing address
1024 W BRANDON AVE, MARION, IN 46952-1533
(765) 668-7867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000234A
IN
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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