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1073048849
TREVIA GOODALL
WEST MEMPHIS, AR
NPI
1073048849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: AR R095145)
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
TREVIA GOODALL
800 W BROADWAY ST
WEST MEMPHIS, AR 72301-2912
Phone number: 870-735-5174
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Mailing Address
TREVIA GOODALL
709 N 14TH ST
WEST MEMPHIS, AR 72301-2138
Phone number:
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