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1912277005
MARY ANN GOOD
DECATUR, IL
NPI
1912277005
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Former Name
MARY ANN MAHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004263)
Enumeration Date
2012-01-05
Last Update Date
2014-09-04
Business Address
Mrs. MARY ANN GOOD PA
2300 N EDWARD ST SUITE 3200
DECATUR, IL 62526-4163
Phone number: 217-876-3660
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Mailing Address
Mrs. MARY ANN GOOD PA
2300 N EDWARD ST GSBLL
DECATUR, IL 62526-4163
Phone number: 217-876-2857
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