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1356730048
GRETCHEN SHAY GOODMAN
GRAND RAPIDS, MI
NPI
1356730048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000770)
Enumeration Date
2015-01-18
Last Update Date
2015-01-18
Business Address
Mrs. GRETCHEN SHAY GOODMAN AT, ATC
350 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503-4656
Phone number: 616-456-8515
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Mailing Address
Mrs. GRETCHEN SHAY GOODMAN AT, ATC
5646 VIA NUEVO DR NE
ROCKFORD, MI 49341-9404
Phone number: 616-334-5812
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