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1972737682
KELLY LYNN GOODRICK
MENTOR, OH
NPI
1972737682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 113787 IV)
Enumeration Date
2009-05-08
Last Update Date
2011-10-06
Business Address
KELLY LYNN GOODRICK LPN
4700 HOMEWOOD DRIVE
MENTOR, OH 44060
Phone number: 440-622-4834
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Mailing Address
KELLY LYNN GOODRICK LPN
4700 HOMEWOOD DRIVE
MENTOR, OH 44060
Phone number: 440-622-4834
Copy
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