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1437411741
LANCE MICHAEL GOODWIN
OKLAHOMA CITY, OK
NPI
1437411741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- LANCE MICHAEL GOODWIN
4911 N PORTLAND AVE SUITE 111
OKLAHOMA CITY, OK 73112-6171
Phone number: 405-605-3093
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Mailing Address
-- LANCE MICHAEL GOODWIN
770 N SILVER SPRINGS BLVD APARTMENT 1814
WICHITA, KS 67212-6099
Phone number: 405-481-3010
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