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1265805402
LACEY GOODMAN
NORTH CANTON, OH
NPI
1265805402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA.10257)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- LACEY GOODMAN PTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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Mailing Address
-- LACEY GOODMAN PTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8200
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