BEGIN:VCARD VERSION:3.0 FN:Tyra Goines N:Goines;Tyra;;; TITLE:Homemaker TEL;TYPE=WORK,VOICE:+14407148095 URL:https://www.gale.care/providers/oh/lorain/tyra-goines-1023989449 NOTE:NPI 1023989449. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1023989449 END:VCARD