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GAIL R GOFF CARE GIVER

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1851613723

Individual Registrant:
 GAIL R GOFF CARE GIVER
Gender: F
Sole Proprietor

Location and contact information for practice:
321 SW 15TH ST  DANIA BEACH, FL 33004-4246 US
Tel: 954-639-7272  Fax: --

Contact information for business:
321 SW 15TH ST  DANIA BEACH, FL 33004-4246 US
Tel: 954-639-7272  Fax: --

Registration Information:
NPI: 1851613723
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
FLG10029661607

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HOME CARE172V00000X01




HEALTH CARE JOBS FL - Page 1



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