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1457721839
RICHARD GOODMAN
GOOSE CREEK, SC
NPI
1457721839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
(Licence: SC 7152)
Enumeration Date
2015-09-29
Last Update Date
2015-09-29
Business Address
Mr. RICHARD GOODMAN
386 RUTT LN
GOOSE CREEK, SC 29445-7808
Phone number: 843-882-7085
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Mailing Address
Mr. RICHARD GOODMAN
386 RUTT LN
GOOSE CREEK, SC 29445-7808
Phone number: 843-882-7085
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