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1093398786
XIA GOUDEAUX HOWARD
NEWARK, DE
NPI
1093398786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE 2000039216)
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
XIA GOUDEAUX HOWARD ATC
103 CANNONBALL LN
NEWARK, DE 19702-3097
Phone number: 302-588-4203
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Mailing Address
XIA GOUDEAUX HOWARD ATC
103 CANNONBALL LN
NEWARK, DE 19702-3097
Phone number: 302-588-4203
Copy
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