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1811448855
LAURANCE GOODWIN
SYRACUSE, NY
NPI
1811448855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002549)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
Mr. LAURANCE GOODWIN ATC
5719 WIDEWATERS PKWY
SYRACUSE, NY 13214-1985
Phone number: 315-883-5886
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Mailing Address
Mr. LAURANCE GOODWIN ATC
868 IRISH SETTLEMENT RD
FREEVILLE, NY 13068-5629
Phone number: 908-268-4587
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