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1164740510
DARA NICOLE GOODWIN
MCDONOUGH, GA
NPI
1164740510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN180693)
Enumeration Date
2010-05-10
Last Update Date
2010-05-10
Business Address
-- DARA NICOLE GOODWIN
543 JONESBORO RD
MCDONOUGH, GA 30253-3718
Phone number: 678-583-9071
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Mailing Address
-- DARA NICOLE GOODWIN
543 JONESBORO RD
MCDONOUGH, GA 30253-3718
Phone number: 678-583-9071
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