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1023568680
JAY DREW GOODMAN
RALEIGH, NC
NPI
1023568680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NC P5645)
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
Mr. JAY DREW GOODMAN PT, SCS
1603 HILLSBOROUGH ST 1603 HILLSBOROUGH STREET
RALEIGH, NC 27605-1638
Phone number: 919-350-3800
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Mailing Address
Mr. JAY DREW GOODMAN PT, SCS
1603 HILLSBOROUGH ST WAKEMED AT ALEXANDER YMCA
RALEIGH, NC 27605-1638
Phone number: 919-350-3800
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