Individual
CAROL JEAN GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5623 LEVI KRAMER BLVD, CANAL WINCHESTER, OH 43110-8322
(614) 707-8112
(614) 829-6567
Mailing address
5623 LEVI KRAMER BLVD, CANAL WINCHESTER, OH 43110-8322
(614) 707-8112
(614) 829-6567
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.123726
OH
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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