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1417504762
VIVIAN LEIGH GOODWIN
LUCEDALE, MS
NPI
1417504762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
VIVIAN LEIGH GOODWIN
7725 JACKSON COUNTY LINE RD
LUCEDALE, MS 39452-4003
Phone number: 228-219-3319
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Mailing Address
VIVIAN LEIGH GOODWIN
7725 JACKSON COUNTY LINE RD
LUCEDALE, MS 39452-4003
Phone number: 228-219-3319
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