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1093881393
AMANDA JACKSON GOODWIN
DANVILLE, KY
NPI
1093881393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: KY PA912)
Enumeration Date
2006-11-28
Last Update Date
2016-03-15
Business Address
AMANDA JACKSON GOODWIN PAC
600 W WALNUT ST
DANVILLE, KY 40422-1309
Phone number: 859-238-5530
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Mailing Address
AMANDA JACKSON GOODWIN PAC
600 W WALNUT ST
DANVILLE, KY 40422-1309
Phone number: 859-238-5530
Copy
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