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1477100857
LACIE ANN GOODMAN
LAREDO, TX
NPI
1477100857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA 216526)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
MRS. LACIE ANN GOODMAN FNP-BC
7521 COUNTRY CLUB DR APT 304
LAREDO, TX 78041-3396
Phone number: 912-571-1480
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Mailing Address
MRS. LACIE ANN GOODMAN FNP-BC
7521 COUNTRY CLUB DR APT 304
LAREDO, TX 78041-3396
Phone number: 912-571-1480
Copy
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