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1710945167
EDWARD J GOODMAN
BRECKENRIDGE, CO
NPI
1710945167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
MR. EDWARD J GOODMAN ATC
5 SILVER GREEN
BRECKENRIDGE, CO 80424-9787
Phone number: 970-389-7301
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Mailing Address
MR. EDWARD J GOODMAN ATC
PO BOX 9787
BRECKENRIDGE, CO 80424-9019
Phone number:
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