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1205188786
BRIAN EARL GOODY
ABERDEEN, WA
NPI
1205188786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA.60316095)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- BRIAN EARL GOODY PA
915 ANDERSON DR
ABERDEEN, WA 98520-1006
Phone number: 360-537-6120
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Mailing Address
-- BRIAN EARL GOODY PA
10612 PARK AVE S
TACOMA, WA 98444-5864
Phone number: 360-584-6775
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