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1588338560
STEPHEN RAY GOFF
GRANT CITY, MO
NPI
1588338560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: MO 5463)
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
STEPHEN RAY GOFF
1209 SOUTH HIGH ST.
GRANT CITY, MO 64456
Phone number: 660-564-2204
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Mailing Address
STEPHEN RAY GOFF
18257 LYON AV.
GRANT CITY, MO 64456
Phone number: 660-541-2471
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