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Individual

ATOSHA GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2650 W KEARNEY ST, SPRINGFIELD, MO 65803-2037
(417) 865-1547
Mailing address
5039 S FIELDSTONE RD, BATTLEFIELD, MO 65619-8406
(417) 274-8420

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MO
183700000X
Pharmacy Technician
2018002759
MO

Other

Enumeration date
08/22/2024
Last updated
08/22/2024
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