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1083860969
LANCE GOODMAN
NEW BERN, NC
NPI
1083860969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 3378)
Enumeration Date
2008-08-12
Last Update Date
2008-08-12
Business Address
-- LANCE GOODMAN
606 DEERFIELD DR
NEW BERN, NC 28562-8930
Phone number: 252-636-2764
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Mailing Address
-- LANCE GOODMAN
606 DEERFIELD DR
NEW BERN, NC 28562-8930
Phone number: 252-636-2764
Copy
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