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1669199832
SHAWN GOODSON
PHOENIX, AZ
NPI
1669199832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 9766)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
SHAWN GOODSON
4840 E INDIAN SCHOOL RD STE 103
PHOENIX, AZ 85018-5500
Phone number: 602-547-1836
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Mailing Address
SHAWN GOODSON
PO BOX 50971
PHOENIX, AZ 85076-0971
Phone number: 602-918-1810
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