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Individual

AMANDA DANIELLE GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8265 W 2700 S, MAGNA, UT 84044-1323
(385) 318-3200
(801) 251-1161
Mailing address
7130 W CIMMARRON DR, SALT LAKE CITY, UT 84128-3450
(801) 906-1988

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8833523-3102
UT

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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