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1316299357
JENITA PAGE GOODWIN
LOUISVILLE, KY
NPI
1316299357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06001163A)
Enumeration Date
2012-10-15
Last Update Date
2012-10-15
Business Address
Mrs. JENITA PAGE GOODWIN PTA
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
Mrs. JENITA PAGE GOODWIN PTA
1515 N 11TH ST
VINCENNES, IN 47591-3304
Phone number:
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