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1073872917
JASON EDWARD GOODIN
LEXINGTON, KY
NPI
1073872917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R4119)
Enumeration Date
2012-05-13
Last Update Date
2012-05-13
Business Address
-- JASON EDWARD GOODIN MA, OTR/L
500 LAKETOWER DR UNIT 2
LEXINGTON, KY 40502-2677
Phone number: 310-995-9018
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Mailing Address
-- JASON EDWARD GOODIN MA, OTR/L
500 LAKETOWER DR UNIT 2
LEXINGTON, KY 40502-2677
Phone number: 310-995-9018
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