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Stacey Goben
NPI 1457696957 · on the registry since 2012
Practice
- Address
- 3852 Hammond Ave
Waterloo, IA 50702 - Phone
- (319) 235-4358
- Fax
- (319) 235-8061
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa