GEORGE WILLIAM GOODRIDGE

BOISE, ID
NPI1710014394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: ID  AT-248)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
MR. GEORGE WILLIAM GOODRIDGE ATC, EMC
792 E BRIDGEWATER CT
BOISE, ID 83706-6424
Phone number: 208-433-0024
Mailing Address
MR. GEORGE WILLIAM GOODRIDGE ATC, EMC
792 E BRIDGEWATER CT
BOISE, ID 83706-6424
Phone number: 208-433-0024
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