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1215276217
LARA GOODELL
LAKE HAVASU CITY, AZ
NPI
1215276217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 9926A)
Enumeration Date
2013-02-11
Last Update Date
2013-02-11
Business Address
Ms. LARA GOODELL P.T.A.
297 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403-6526
Phone number: 928-453-0501
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Mailing Address
Ms. LARA GOODELL P.T.A.
297 LAKE HAVASU AVE S STE 102
LAKE HAVASU CITY, AZ 86403-6526
Phone number: 928-453-0501
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