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1356537864
LISA A GOODLEIN
LAS VEGAS, NV
NPI
1356537864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 009951-1)
Enumeration Date
2007-09-18
Last Update Date
2007-09-18
Business Address
-- LISA A GOODLEIN
2625 E SAINT LOUIS AVE
LAS VEGAS, NV 89104-4200
Phone number: 170-279-9746
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Mailing Address
-- LISA A GOODLEIN
3773 CORPOLO AVE
LAS VEGAS, NV 89141-3483
Phone number: 585-755-6845
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