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1013226158
NICOLE LYNN GOODEVE
LIVERPOOL, NY
NPI
1013226158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 012755-1)
Enumeration Date
2010-10-06
Last Update Date
2010-10-06
Business Address
Mrs. NICOLE LYNN GOODEVE
5072 CONSTITUTION LN
LIVERPOOL, NY 13088-5870
Phone number: 315-299-5261
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Mailing Address
Mrs. NICOLE LYNN GOODEVE
5072 CONSTITUTION LN
LIVERPOOL, NY 13088-5870
Phone number: 315-299-5261
Copy
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