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MRS. MARY KEYS GOODING LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1073603296

Individual Registrant:
MRS. MARY KEYS GOODING LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
6420 POLLARDS POND RD  APPLING, GA 30802-3726 US
Tel: 706-541-1318  Fax: 706-541-0753

Contact information for business:
7251 MOONTOWN RD  APPLING, GA 30802-2405 US
Tel: 706-541-0106  Fax: --

Registration Information:
NPI: 1073603296
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
GALPN042507

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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