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1750444162
SUSAN GOODSON
LAGRANGE, GA
NPI
1750444162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN009185)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- SUSAN GOODSON DMD
122 GORDON COMMERCIAL DR # A
LAGRANGE, GA 30240-5740
Phone number: 706-845-4035
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Mailing Address
-- SUSAN GOODSON DMD
122 GORDON COMMERCIAL DR # A
LAGRANGE, GA 30240-5740
Phone number: 706-845-4035
Copy
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