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Individual

KEELEE GOODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
1027 JANE DR, CULLODEN, WV 25510-9512
(304) 546-6804
Mailing address
1027 JANE DR, CULLODEN, WV 25510-9512
(304) 546-6804

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2005-1660
WV

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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