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1871039800
JESSICA GOODMAN
OVERLAND PARK, KS
NPI
1871039800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01070)
Enumeration Date
2017-01-14
Last Update Date
2017-01-14
Business Address
-- JESSICA GOODMAN
12200 W 106TH ST
OVERLAND PARK, KS 66215-2305
Phone number: 913-541-3365
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Mailing Address
-- JESSICA GOODMAN
12200 W 106TH ST
OVERLAND PARK, KS 66215-2305
Phone number: 913-541-3365
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