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1881998177
MARTHA GOODIN
SHREVEPORT, LA
NPI
1881998177
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Other Name
MARTHA GOODIN HETHERWICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA L#10350)
Enumeration Date
2011-01-01
Last Update Date
2011-01-01
Business Address
-- MARTHA GOODIN PA-C
2508 BERT KOUNS INDUSTRIAL LOOP SUITE 401
SHREVEPORT, LA 71118-3133
Phone number: 318-686-5440
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Mailing Address
-- MARTHA GOODIN PA-C
2508 BERT KOUNS INDUSTRIAL LOOP SUITE 401
SHREVEPORT, LA 71118-3133
Phone number: 318-686-5440
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