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1194201343
JEFFREY LAWRENCE GOODRICH
GALLIPOLIS, OH
NPI
1194201343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH RN.391404)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
JEFFREY LAWRENCE GOODRICH MSN, APRN, CNP
3086 SR 160
GALLIPOLIS, OH 45631-8409
Phone number: 740-446-5500
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Mailing Address
JEFFREY LAWRENCE GOODRICH MSN, APRN, CNP
PO BOX 188
CHILLICOTHE, OH 45601-0188
Phone number: 740-773-4366
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