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Chandra. Goodwin, H.I.S
NPI 1477762193 · on the registry since 2007
Practice
- Address
- 1927 S National Ave
Ste. A
Springfield, MO 65804 - Phone
- (417) 889-5353
- Fax
- (417) 889-5355
- Organisation at this address
- Modayil Enterprises, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri