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1881316644
KENNEDY NICOLE GOODNIGHT
CLAREMORE, OK
NPI
1881316644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-09-16
Last Update Date
2023-08-07
Business Address
KENNEDY NICOLE GOODNIGHT
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 844-548-2100
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Mailing Address
KENNEDY NICOLE GOODNIGHT
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 844-548-2100
Copy
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