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1811917297
BLAIR T GOODSELL
SIERRA VISTA, AZ
NPI
1811917297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 2298)
Enumeration Date
2006-07-20
Last Update Date
2016-06-09
Business Address
DR. BLAIR T GOODSELL DO
302 EL CAMINO REAL SUITE 5
SIERRA VISTA, AZ 85635-2860
Phone number: 520-459-3920
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Mailing Address
DR. BLAIR T GOODSELL DO
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 85635-9113
Phone number: 520-458-4335
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