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1861166043
JANA GOODMAN
LAGRANGE, GA
NPI
1861166043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN251270)
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
JANA GOODMAN APRN
303 SMITH ST
LAGRANGE, GA 30240-2745
Phone number: 706-882-8831
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Mailing Address
JANA GOODMAN APRN
303 SMITH ST
LAGRANGE, GA 30240-2745
Phone number: 706-882-8831
Copy
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