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1013292754
CORY GOODSON
MISHAWAKA, IN
NPI
1013292754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05009121A)
Enumeration Date
2011-10-13
Last Update Date
2011-10-13
Business Address
-- CORY GOODSON
1420 E DOUGLAS RD
MISHAWAKA, IN 46545-1733
Phone number: 574-307-7200
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Mailing Address
-- CORY GOODSON
1420 E DOUGLAS RD
MISHAWAKA, IN 46545-1733
Phone number:
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