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1881267706
ANDREW ROBERT GOODRICH
CLIVE, IA
NPI
1881267706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G164620)
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
ANDREW ROBERT GOODRICH FPMHNP-BC
1450 NW 114TH ST
CLIVE, IA 50325-7039
Phone number: 844-680-0504
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Mailing Address
ANDREW ROBERT GOODRICH FPMHNP-BC
10815 NE 78TH CT
BONDURANT, IA 50035-1309
Phone number: 515-371-9524
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