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1861575847
GEORGIA GOODRICH
HERMON, ME
NPI
1861575847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA2813)
Enumeration Date
2006-10-23
Last Update Date
2013-08-08
Business Address
GEORGIA GOODRICH PTA
74 SMITH RD
HERMON, ME 04401-0725
Phone number: 207-469-8704
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Mailing Address
GEORGIA GOODRICH PTA
74 SMITH RD
HERMON, ME 04401-0725
Phone number: 207-469-8704
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