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Shanae Gooch
NPI 1689118150 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1811 College Ave Se
Grand Rapids, MI 49507 - Phone
- (616) 236-3074
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 376K00000X
- Sex
- Female
- Record last updated
- 2016-12-18
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 Michigan