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1851123293
MARY L GOODMAN
RALEIGH, NC
NPI
1851123293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 2024062231)
Enumeration Date
2024-08-15
Last Update Date
2024-08-15
Business Address
Ms. MARY L GOODMAN
3019 FALSTAFF RD
RALEIGH, NC 27610-1812
Phone number: 919-250-7000
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Mailing Address
Ms. MARY L GOODMAN
300 LOREASE DR
DUDLEY, NC 28333-9771
Phone number: 910-990-3316
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