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1851971873
JORDAN GAGE GOODWIN
BRIDGEPORT, WV
NPI
1851971873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
JORDAN GAGE GOODWIN
387 HELIPORT LOOP
BRIDGEPORT, WV 26330-8604
Phone number: 304-842-0044
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Mailing Address
JORDAN GAGE GOODWIN
PO BOX 1276
BRIDGEPORT, WV 26330-6276
Phone number: 304-842-0044
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