NICOLE GOODMAN

TYLER, TX
NPI1609224393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  AT6334)
Enumeration Date2016-06-02
Last Update Date2016-06-02
Business Address
-- NICOLE GOODMAN ATC, LAT
13172 STATE HIGHWAY 64 E
TYLER, TX 75707-5340
Phone number: 502-542-0583
Mailing Address
-- NICOLE GOODMAN ATC, LAT
5613 OAKMEADOW DR APT 906
FORT WORTH, TX 76132-2469
Phone number: 502-542-0583
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