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1114946449
KENNETH WAYNE GOFF
SPRINGDALE, AR
NPI
1114946449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A01752)
Enumeration Date
2006-07-18
Last Update Date
2012-06-18
Business Address
Mr. KENNETH WAYNE GOFF APN
901 JONES RD
SPRINGDALE, AR 72762-0875
Phone number: 479-306-4957
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Mailing Address
Mr. KENNETH WAYNE GOFF APN
901 JONES RD
SPRINGDALE, AR 72762-0875
Phone number: 479-306-4957
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