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1780658310
JASON WILLIAM GOOD
ANDERSON, IN
NPI
1780658310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 360001247A)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
-- JASON WILLIAM GOOD ATC
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 765-641-4006
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Mailing Address
-- JASON WILLIAM GOOD ATC
1920 E 5TH ST
ANDERSON, IN 46012-3525
Phone number: 937-768-2410
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