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1023899614
SAMUEL L GOODSON
CLAYTON, NC
NPI
1023899614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NC 20022)
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
SAMUEL L GOODSON BS, LMBT
120 E MAIN ST # 200
CLAYTON, NC 27520-2448
Phone number: 919-698-4648
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Mailing Address
SAMUEL L GOODSON BS, LMBT
502 BALLAST PT
CLAYTON, NC 27520-6217
Phone number: 919-698-4648
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