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1538900063
GAVAN GOODE
PRINCETON, WV
NPI
1538900063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
GAVAN GOODE
712 MERCER ST STE D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
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Mailing Address
GAVAN GOODE
220 PRINCETON VLG
PRINCETON, WV 24740-2043
Phone number:
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