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1053863142
JACQUELINE GOODWIN
BRIDGEPORT, CT
NPI
1053863142
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Other Name
JACQUELINE LEE DEGANN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 4375)
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
-- JACQUELINE GOODWIN OTR/L
150 BEACHVIEW AVE APT 298
BRIDGEPORT, CT 06605-3234
Phone number: 781-799-4213
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Mailing Address
-- JACQUELINE GOODWIN OTR/L
150 BEACHVIEW AVE APT 298
BRIDGEPORT, CT 06605-3234
Phone number: 781-799-4213
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