CHAD DAVID GOODMAN

JONESBORO, AR
NPI1487111670
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  P060578)
Enumeration Date2019-02-25
Last Update Date2019-02-25
Business Address
CHAD DAVID GOODMAN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Mailing Address
CHAD DAVID GOODMAN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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