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1700396405
STEPHANNIE LORENE GOODRUM
CLINTON, KY
NPI
1700396405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3011787)
Enumeration Date
2017-10-07
Last Update Date
2017-10-07
Business Address
Mrs. STEPHANNIE LORENE GOODRUM APRN
308 S WASHINGTON ST STE 200
CLINTON, KY 42031-1347
Phone number: 270-653-0220
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Mailing Address
Mrs. STEPHANNIE LORENE GOODRUM APRN
175 EVANS LN
CLINTON, KY 42031-9402
Phone number: 270-217-9558
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