STACY GOODWIN

ROSEBURG, OR
NPI1922599935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201709844LPN)
Enumeration Date2018-05-24
Last Update Date2018-05-24
Business Address
STACY GOODWIN
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0241
Mailing Address
STACY GOODWIN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number:
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