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1174034607
KRISTI GOOCH
MARION, IL
NPI
1174034607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146006988)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
KRISTI GOOCH
1609 W MAIN ST
MARION, IL 62959-1145
Phone number: 618-997-1317
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Mailing Address
KRISTI GOOCH
12901 LESLIE CT
MARION, IL 62959-9314
Phone number:
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