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1659553782
DEBRA JO GOODALL
TROY, MI
NPI
1659553782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704220755)
Enumeration Date
2007-11-30
Last Update Date
2022-07-29
Business Address
DEBRA JO GOODALL NP-C
4600 INVESTMENT DR STE 200
TROY, MI 48098-6375
Phone number: 248-267-5050
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Mailing Address
DEBRA JO GOODALL NP-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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