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1790479962
RILEY GOODWIN
RAPID CITY, SD
NPI
1790479962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
RILEY GOODWIN
12955 BOGUS JIM RD
RAPID CITY, SD 57702-9703
Phone number: 605-786-5643
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Mailing Address
RILEY GOODWIN
12955 BOGUS JIM RD
RAPID CITY, SD 57702-9703
Phone number: 605-786-5643
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