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1730670225
DANIEL LEE GODDARD
WASILLA, AK
NPI
1730670225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
DANIEL LEE GODDARD
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
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Mailing Address
DANIEL LEE GODDARD
436 N MAIN ST
WASILLA, AK 99654-7018
Phone number: 907-376-8020
Copy
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