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1063634475
CARRIE CHRISTINA GOODRUM
MESA, AZ
NPI
1063634475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP2157)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Ms. CARRIE CHRISTINA GOODRUM FNP
1520 S. DOBSON RD. SUITE 203
MESA, AZ 85202
Phone number: 480-461-8400
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Mailing Address
Ms. CARRIE CHRISTINA GOODRUM FNP
4511 E. BRIARWOOD TERRACE
PHOENIX, AZ 85048
Phone number: 480-272-7816
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