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1972082410
ELLEN I GOODMAN
FORT WORTH, TX
NPI
1972082410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 103606)
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
ELLEN I GOODMAN LVN
300 PENNSYLVANIA AVE
FORT WORTH, TX 76104-3304
Phone number: 817-335-3022
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Mailing Address
ELLEN I GOODMAN LVN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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