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1053142349
JALEN ISAIAH GOODWIN
GREENVILLE, NC
NPI
1053142349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
JALEN ISAIAH GOODWIN LAT, ATC
1301 E ARLINGTON BLVD
GREENVILLE, NC 27858-5868
Phone number: 252-565-8812
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Mailing Address
JALEN ISAIAH GOODWIN LAT, ATC
1301 E ARLINGTON BLVD
GREENVILLE, NC 27858-5868
Phone number: 252-565-8812
Copy
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