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1407472590
MICHAEL K GODDARD
LEWISBURG, WV
NPI
1407472590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
MICHAEL K GODDARD
348 NORTHRIDGE DR APT 104
LEWISBURG, WV 24901-9053
Phone number: 304-520-4379
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Mailing Address
MICHAEL K GODDARD
261 11TH ST
RAINELLE, WV 25962-1255
Phone number:
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