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Individual

MRS. CAROLYN GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
994 DORSET WEST RD, DORSET, VT 05251
(802) 379-6377
Mailing address
994 DORSET WEST RD, DORSET, VT 05251
(802) 379-6377

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0026561
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0NP4498
VT
Enumeration date
03/08/2007
Last updated
08/25/2015
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