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Individual
PATRICK K GOODWIN
Active
Individual
PATRICK K GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292820-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292820-1
LPN LICENSE
NY
Enumeration date
11/09/2011
Last updated
11/09/2011
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