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1982171203
TARA LYNN GOODWIN
MAGNOLIA, AR
NPI
1982171203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005853)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
TARA LYNN GOODWIN APRN
29 AZALEA
MAGNOLIA, AR 71753-2275
Phone number: 870-904-5167
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Mailing Address
TARA LYNN GOODWIN APRN
29 AZALEA
MAGNOLIA, AR 71753-2275
Phone number: 870-904-5167
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