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1851593834
TODD HOWARD GOSHORN
GRAND ISLAND, NE
NPI
1851593834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 90)
Enumeration Date
2007-06-03
Last Update Date
2007-07-08
Business Address
Mr. TODD HOWARD GOSHORN ATC
3107 W 18TH ST
GRAND ISLAND, NE 68803-2404
Phone number: 308-381-2702
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Mailing Address
Mr. TODD HOWARD GOSHORN ATC
3107 W 18TH ST
GRAND ISLAND, NE 68803-2404
Phone number: 308-381-2702
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