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1104894625
CHARLES GOODWIN
WESTERVILLE, OH
NPI
1104894625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 000719)
Enumeration Date
2006-03-10
Last Update Date
2007-07-08
Business Address
Mr. CHARLES GOODWIN ATC
180 CENTER ST CLEMENTS CENTER
WESTERVILLE, OH 43081-1405
Phone number: 614-823-1634
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Mailing Address
Mr. CHARLES GOODWIN ATC
5850 MALL VIEW CT
COLUMBUS, OH 43231-2927
Phone number:
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