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1093584625
ANTIONETTE GOODMAN
DETROIT, MI
NPI
1093584625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704301158)
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
ANTIONETTE GOODMAN RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
ANTIONETTE GOODMAN RN
20535 VERNIER RD APT 4
HARPER WOODS, MI 48225-1465
Phone number: 313-434-5130
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