Jacob David Goman

NPI #1265322853 in Saint Peter, Minnesota

Provider Information

NPI Number: 1265322853
Entity Type: Individual
Name: Jacob David Goman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 7, 2025
Last Updated: Jul 7, 2025

Practice Location

Address: 800 W COLLEGE AVE
City: Saint Peter
State: Minnesota
ZIP Code: 56082-1498
Phone: (952) 242-7798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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