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1407232903
DESERAE J GOBLE MD PC
LOGAN, UT
NPI
1407232903
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Entity Type
Organization
Authorized Contact
DESERAE GOBLE
Owner
435-363-7853
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 5010200-1205)
Enumeration Date
2015-08-06
Last Update Date
2021-08-31
Business Address
DESERAE J GOBLE MD PC
1451 N 200 E STE 250
LOGAN, UT 84341-7570
Phone number: 435-363-7853
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Mailing Address
DESERAE J GOBLE MD PC
PO BOX 5
MILLVILLE, UT 84326-0005
Phone number: 435-232-4279
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