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1558379966
SANDY GOODSTEIN
LEBANON, PA
NPI
1558379966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA000291L &OA000032L)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Mr. SANDY GOODSTEIN PA/C
1700 S LINCOLN AVE
LEBANON, PA 17042-7529
Phone number: 717-272-6621
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Mailing Address
Mr. SANDY GOODSTEIN PA/C
115 NORWAY LN
LEBANON, PA 17042-9004
Phone number: 717-272-6509
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