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1609151182
SHANA GOODMAN
MANITOWOC, WI
NPI
1609151182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WI 179390030)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- SHANA GOODMAN RN
1624 HILLCREST DR
MANITOWOC, WI 54220-1825
Phone number: 920-905-3568
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Mailing Address
-- SHANA GOODMAN RN
1624 HILLCREST DR
MANITOWOC, WI 54220-1825
Phone number:
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