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1619708286
MARIAH GOODELL
SURPRISE, AZ
NPI
1619708286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ PTA-014534)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
MARIAH GOODELL
16350 N PAT TILLMAN BLVD SUITE 102
SURPRISE, AZ 85387
Phone number: 480-863-5201
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Mailing Address
MARIAH GOODELL
17816 W JESSIE LN
SURPRISE, AZ 85387-4056
Phone number: 720-377-5799
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