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Tracy Goodale, L.P.N.

Licensed Practical Nurse in Potsdam, NY. Individual provider (NPI-1).

NPI number1801044151
StatusActive
Last updated in NPPESAug 28, 2008

Details

NPI
1801044151
Entity type
Individual (NPI-1)
Name
Tracy Goodale
Credential
L.P.N.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2008
Last updated
Aug 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse243103NYYes

Practice location

56 Market Street
Potsdam, NY 13676-1747

Phone 315-265-4065 · Fax 315-265-0012

Mailing address

56 Market Street
Potsdam, NY 13676-1747

Phone 315-265-4065 · Fax 315-265-0012

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