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1053467605
DIANE GOODWIN
STAMFORD, CT
NPI
1053467605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000205)
Enumeration Date
2007-01-26
Last Update Date
2016-01-08
Business Address
Ms. DIANE GOODWIN PA-C
30 SHELBURNE RD
STAMFORD, CT 06902-3628
Phone number: 203-276-1000
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Mailing Address
Ms. DIANE GOODWIN PA-C
30 SHELBURNE RD
STAMFORD, CT 06902-3628
Phone number: 203-276-1000
Copy
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