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1073281135
CHANNA TERESE GOODMAN
TYLER, TX
NPI
1073281135
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Former Name
CHANNA ROYAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0200X Registered Nurse, Pediatrics
(Licence: TX 896590)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
CHANNA TERESE GOODMAN RN
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-705-0070
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Mailing Address
CHANNA TERESE GOODMAN RN
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-705-0070
Copy
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