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1477945343
PHYLLIS GOODWIN
EAGLE RIVER, AK
NPI
1477945343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 1520)
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
Ms. PHYLLIS GOODWIN ANP
16706 RIDDELL CIR
EAGLE RIVER, AK 99577-7600
Phone number: 907-696-3370
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Mailing Address
Ms. PHYLLIS GOODWIN ANP
16706 RIDDELL CIR
EAGLE RIVER, AK 99577-7600
Phone number: 907-696-3370
Copy
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