GREGORY LEE GOODWIN

FAYETTEVILLE, AR
NPI1902191950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
Mr. GREGORY LEE GOODWIN
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9771
Mailing Address
Mr. GREGORY LEE GOODWIN
2153 E JOYCE BLVD
FAYETTEVILLE, AR 72703-4714
Phone number: 479-575-9771