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1215427166
SHANTELLE GOODMAN
OWOSSO, MI
NPI
1215427166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
SHANTELLE GOODMAN
1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
Phone number: 989-723-6791
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Mailing Address
SHANTELLE GOODMAN
1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
Phone number:
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