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1164013934
MOLLY GOODMAN
BRIDGETON, MO
NPI
1164013934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2020008728)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
MOLLY GOODMAN NP
12409 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044-2507
Phone number: 314-455-4046
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Mailing Address
MOLLY GOODMAN NP
689 W LOCKWOOD AVE
SAINT LOUIS, MO 63119-3540
Phone number: 314-719-7379
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