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Individual

SIMONE GOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 RICHMOND PLACE WAY, LOGANVILLE, GA 30052-9074
(860) 816-2842
Mailing address
1040 RICHMOND PLACE WAY, LOGANVILLE, GA 30052-9074
(860) 816-2842

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014244097
GA

Other

Enumeration date
07/06/2024
Last updated
07/06/2024
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