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1225333693
GARY THOMAS GOODWIN
CLEARWATER, FL
NPI
1225333693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-01-17
Last Update Date
2011-01-17
Business Address
Mr. GARY THOMAS GOODWIN
600 BYPASS DR SUITE 108
CLEARWATER, FL 33764-5078
Phone number: 727-643-9648
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Mailing Address
Mr. GARY THOMAS GOODWIN
PO BOX 7388
ST PETERSBURG, FL 33734-7388
Phone number: 727-643-9648
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