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1063757037
MICHAELINA GOODWIN
SAN TAN VALLEY, AZ
NPI
1063757037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP-8002)
Enumeration Date
2012-12-03
Last Update Date
2015-04-16
Business Address
-- MICHAELINA GOODWIN MS CCC-SLP
464 E PASTURE CANYON DR
SAN TAN VALLEY, AZ 85143-5813
Phone number: 970-560-0123
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Mailing Address
-- MICHAELINA GOODWIN MS CCC-SLP
464 E PASTURE CANYON DR
SAN TAN VALLEY, AZ 85143-5813
Phone number: 970-560-0123
Copy
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