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Individual

ANTOINETTE GOODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
3912 DREXEL DR, TOLEDO, OH 43612-1238
(419) 260-5126
Mailing address
3912 DREXEL DR, TOLEDO, OH 43612-1238
(419) 260-5126

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501072230206
OH

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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