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1922619998
DESHAWN GOODMAN
PARKERSBURG, WV
NPI
1922619998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
DESHAWN GOODMAN
144 OLD ASHBY RIDGE RD
PARKERSBURG, WV 26104-8668
Phone number: 304-917-6210
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Mailing Address
DESHAWN GOODMAN
144 OLD ASHBY RIDGE RD
PARKERSBURG, WV 26104-8668
Phone number: 304-917-6210
Copy
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