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Individual

MLISA SHIANNE GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6515 WEEPING WILLOW DR, COLORADO SPRINGS, CO 80925-1310
(719) 581-9041
Mailing address
4336 S ACOMA ST, ENGLEWOOD, CO 80110-5744

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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