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1689615197
LAURA SUE GOODWIN
SAN DIEGO, CA
NPI
1689615197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 608881)
Enumeration Date
2006-06-08
Last Update Date
2010-02-22
Business Address
Ms. LAURA SUE GOODWIN RN, PMHNP
4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123-1658
Phone number: 800-257-8715
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Mailing Address
Ms. LAURA SUE GOODWIN RN, PMHNP
5312 CRAWFORD CT
FLOWER MOUND, TX 75028-1010
Phone number: 469-293-5296
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