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1053095653
JOHN ROBERT GOODWIN
VIRGINIA BEACH, VA
NPI
1053095653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
JOHN ROBERT GOODWIN
4421 VIRGINIA BEACH BLVD #112
VIRGINIA BEACH, VA 23462
Phone number: 757-963-1488
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Mailing Address
JOHN ROBERT GOODWIN
4 GATESHEAD DR
FLEMINGTON, NJ 08822
Phone number: 908-442-0912
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