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1861600173
MALCOM GOODCHILD
BROOKLYN, NY
NPI
1861600173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 2097331)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- MALCOM GOODCHILD LPN
9316 AVENUE N
BROOKLYN, NY 11236-5230
Phone number: 718-444-7480
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Mailing Address
-- MALCOM GOODCHILD LPN
9316 AVENUE N
BROOKLYN, NY 11236-5230
Phone number: 718-444-7480
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