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Individual

MRS. KAREN SUE GODINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, LMT, CLT

Contact information

Practice address
6730 DONNA RAE DR, SEVEN HILLS, OH 44131-3704
(440) 382-2200
Mailing address
6730 DONNA RAE DR, SEVEN HILLS, OH 44131-3704
(440) 382-2200

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN 166819
OH
163WM1400X
Nurse Massage Therapist (NMT)
Primary
RN 166819
OH
225700000X
Massage Therapist
33. 020620 E-G
OH

Other

Enumeration date
01/08/2014
Last updated
01/08/2014
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