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1568039022
THERESA GOODWIN
DES MOINES, IA
NPI
1568039022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IA R-12130)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
THERESA GOODWIN DO
1200 PLEASANT ST # B5
DES MOINES, IA 50309-1453
Phone number: 515-241-4497
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Mailing Address
THERESA GOODWIN DO
1200 PLEASANT ST # B5
DES MOINES, IA 50309-1453
Phone number: 515-241-4497
Copy
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