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Individual

MRS. LISA DIANE GOODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 CHESTNUT ST, GREENFIELD, IL 62044-1305
(217) 368-2667
(217) 368-3140
Mailing address
502 CHESTNUT ST, GREENFIELD, IL 62044-1305
(217) 368-2667
(217) 368-3140

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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