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1679255889
COLLEEN KING GOODE LLC
GAMBRILLS, MD
NPI
1679255889
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Entity Type
Organization
Authorized Contact
COLLEEN GOODE
Owner
443-814-9108
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2023-08-07
Last Update Date
2023-08-16
Business Address
COLLEEN KING GOODE LLC
1404 S MAIN CHAPEL WAY STE 104
GAMBRILLS, MD 21054-1860
Phone number: 443-814-9108
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Mailing Address
COLLEEN KING GOODE LLC
1404 S MAIN CHAPEL WAY STE 104
GAMBRILLS, MD 21054-1860
Phone number: 443-814-9108
Copy
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FREE STATE PRIMARY CARE LLC