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1194273185
HAROLD GOODRUM
DECATUR, GA
NPI
1194273185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA 002554)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- HAROLD GOODRUM
575 DEKALB INDUSTRIAL WAY SUITE 103
DECATUR, GA 30030-1756
Phone number: 404-296-8511
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Mailing Address
-- HAROLD GOODRUM
575 DEKALB INDUSTRIAL WAY SUITE 103
DECATUR, GA 30030-1756
Phone number: 404-296-8511
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THE LONG INSTITUTE OF THERAPY SERVICES LLC