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1205491750
AMY RENEE GOODWIN
MEDFORD, OR
NPI
1205491750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201402099LPN)
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
AMY RENEE GOODWIN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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Mailing Address
AMY RENEE GOODWIN
777 MURPHY RD
MEDFORD, OR 97504-8425
Phone number: 541-772-2763
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