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1194002865
PATRICK K GOODWIN
SYRACUSE, NY
NPI
1194002865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 292820-1)
Enumeration Date
2011-11-09
Last Update Date
2011-11-09
Business Address
-- PATRICK K GOODWIN LPN
2105 W GENESEE ST
SYRACUSE, NY 13219-1698
Phone number: 315-468-3239
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Mailing Address
-- PATRICK K GOODWIN LPN
103 WILSON DR
EAST SYRACUSE, NY 13057-2735
Phone number: 315-656-8765
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