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1346906393
SHAWNTAVIA Y GOODMAN
LAKE CITY, FL
NPI
1346906393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
SHAWNTAVIA Y GOODMAN
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 352-374-5600
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Mailing Address
SHAWNTAVIA Y GOODMAN
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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