Individual
JOSEPH EUBANKS GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5166 GROH LN, FAIRFIELD, OH 45014-2328
(513) 482-9413
Mailing address
5166 GROH LN, FAIRFIELD, OH 45014-2328
(513) 482-9413
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
294586
OH
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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