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1003421710
GRACELYN J. GOODWIN
TALLAHASSEE, FL
NPI
1003421710
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Other Name
GRACE GOODWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA17498)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
Mrs. GRACELYN J. GOODWIN COTA/L
2711 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4497
Phone number: 850-210-1172
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Mailing Address
Mrs. GRACELYN J. GOODWIN COTA/L
7820 HIGHWAY 90
SNEADS, FL 32460-2232
Phone number: 850-557-8686
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