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1891152872
AUSTIN GLENN GOODRICH
MESA, AZ
NPI
1891152872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-01-21
Last Update Date
2016-07-15
Business Address
Mr. AUSTIN GLENN GOODRICH ATC
3046 E LAUREL ST
MESA, AZ 85213-2420
Phone number: 209-480-1516
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Mailing Address
Mr. AUSTIN GLENN GOODRICH ATC
3046 E LAUREL ST
MESA, AZ 85213-2420
Phone number: 209-480-1516
Copy
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