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Individual

AMANDA GOODBEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5586 CHRISTOPHER DR, EAU CLAIRE, WI 54703-3830
(715) 896-7877
Mailing address
W8838 THUNDERCLOUD RD, BLACK RIVER FALLS, WI 54615-6421
(715) 896-7877

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321718-31
WI

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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