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Individual
GLENDA GOFF
Active
Individual
GLENDA GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19617
SC
163WC1500X
Community Health Registered Nurse
19617
SC
Other
Enumeration date
03/14/2014
Last updated
03/27/2014
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