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1902314461
BRANDT GOODWIN
LONGVIEW, TX
NPI
1902314461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 119809)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
BRANDT GOODWIN CRNA
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 903-315-2000
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Mailing Address
BRANDT GOODWIN CRNA
2076 YASMEEN CIR
FLINT, TX 75762-6735
Phone number: 903-754-2384
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