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1841805058
KRISTA L GOODING
GRANITE CITY, IL
NPI
1841805058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.017546)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
Ms. KRISTA L GOODING PT
1525 JOHNSON RD
GRANITE CITY, IL 62040-3831
Phone number: 618-452-1986
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Mailing Address
Ms. KRISTA L GOODING PT
PO BOX 1343
GRANITE CITY, IL 62040-1343
Phone number: 618-452-1986
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