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1316294937
JENNIFER GOODMAN
LOUISVILLE, KY
NPI
1316294937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001974)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
JENNIFER GOODMAN
303 N HURSTBOURNE PKWY 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
JENNIFER GOODMAN
6416 TUPPER LAKE RD
SUNFIELD, MI 48890-9733
Phone number: 517-290-5548
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