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1710742598
MLISA SHIANNE GOODWIN
COLORADO SPRINGS, CO
NPI
1710742598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
MLISA SHIANNE GOODWIN
6515 WEEPING WILLOW DR
COLORADO SPRINGS, CO 80925-1310
Phone number: 719-581-9041
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Mailing Address
MLISA SHIANNE GOODWIN
4336 S ACOMA ST
ENGLEWOOD, CO 80110-5744
Phone number:
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