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1902191950
GREGORY LEE GOODWIN
FAYETTEVILLE, AR
NPI
1902191950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2011-06-16
Last Update Date
2011-06-16
Business Address
MR. GREGORY LEE GOODWIN
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9771
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Mailing Address
MR. GREGORY LEE GOODWIN
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9771
Copy
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