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Individual

DIANA K GOOD

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
39056 FOREST ST, LISBON, OH 44432-9362
(330) 831-5527
(330) 420-0088
Mailing address
39056 FOREST ST, LISBON, OH 44432-9362
(330) 831-5527
(330) 420-0088

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2599219
OH
Enumeration date
06/03/2006
Last updated
07/08/2007
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