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1043515042
JAMIE GOODWIN
COEUR D ALENE, ID
NPI
1043515042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2011-01-21
Last Update Date
2011-01-21
Business Address
Mrs. JAMIE GOODWIN
1800 LINCOLN WAY
COEUR D ALENE, ID 83814-2570
Phone number: 208-292-0697
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Mailing Address
Mrs. JAMIE GOODWIN
PO BOX 3648
COEUR D' ALENE, ID 83816
Phone number: 208-292-0697
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