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1932444692
CHANA NICOLE GOODIN
LAGRANGE, IN
NPI
1932444692
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Former Name
CHANA NICOLE HUNTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001474A)
Enumeration Date
2012-12-06
Last Update Date
2024-03-28
Business Address
Mrs. CHANA NICOLE GOODIN PA-C
2500 N DETROIT ST
LAGRANGE, IN 46761-1158
Phone number: 260-463-2133
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Mailing Address
Mrs. CHANA NICOLE GOODIN PA-C
PO BOX 236
LAGRANGE, IN 46761-0236
Phone number: 260-463-2133
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