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1750327797
REBECCA J GOODSPEED
MERIDIAN, ID
NPI
1750327797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA524)
Enumeration Date
2006-06-20
Last Update Date
2016-11-15
Business Address
-- REBECCA J GOODSPEED PA
3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642-8531
Phone number: 208-302-6450
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Mailing Address
-- REBECCA J GOODSPEED PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-6450
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