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Individual

DR. MEAGAN GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
79 HAMMOND LN STE 2, PLATTSBURGH, NY 12901-2008
(518) 563-5900
Mailing address
4 RUTH ST, SOUTH BURLINGTON, VT 05403-6535
(617) 921-1696

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0134170
VT

Other

Enumeration date
08/13/2018
Last updated
10/07/2019
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