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1902510969
NICOLE SUSANNE GOODEN
EL PASO, TX
NPI
1902510969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1107100)
Enumeration Date
2023-01-12
Last Update Date
2024-09-16
Business Address
NICOLE SUSANNE GOODEN FNP-C
9849 KENWORTHY ST
EL PASO, TX 79924-4402
Phone number: 915-215-5500
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Mailing Address
NICOLE SUSANNE GOODEN FNP-C
1335 GERONIMO DR
EL PASO, TX 79925-1836
Phone number: 915-591-2704
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