AUSTIN GLENN GOODRICH

MESA, AZ
NPI1891152872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-01-21
Last Update Date2016-07-15
Business Address
Mr. AUSTIN GLENN GOODRICH ATC
3046 E LAUREL ST
MESA, AZ 85213-2420
Phone number: 209-480-1516
Mailing Address
Mr. AUSTIN GLENN GOODRICH ATC
3046 E LAUREL ST
MESA, AZ 85213-2420
Phone number: 209-480-1516
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