ERIC GOODPASTER

MIAMI, OK
NPI1053734236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-24
Last Update Date2014-01-24
Business Address
-- ERIC GOODPASTER teaching certificate
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
Mailing Address
-- ERIC GOODPASTER teaching certificate
130 W STEVE OWENS BLVD
MIAMI, OK 74354-7629
Phone number: 918-542-2845
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