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Individual

KEVIN GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5733
Mailing address
252 EAST 9TH ST, OSWEGO, NY 13126
(334) 332-7326

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
711452
NY

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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