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1023394442
DEMARA ANDREA GOODRICH
BOWLING GREEN, KY
NPI
1023394442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3007091)
Enumeration Date
2011-10-31
Last Update Date
2014-09-29
Business Address
Mrs. DEMARA ANDREA GOODRICH APRN
1225 FAIRWAY ST
BOWLING GREEN, KY 42103-2477
Phone number: 270-781-3910
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Mailing Address
Mrs. DEMARA ANDREA GOODRICH APRN
1225 FAIRWAY ST
BOWLING GREEN, KY 42103-2477
Phone number: 270-781-3910
Copy
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