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1912442609
DEAN SCOTT GOODELL
SAN JOSE, CA
NPI
1912442609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 36444)
Enumeration Date
2017-01-04
Last Update Date
2017-01-17
Business Address
Mr. DEAN SCOTT GOODELL P.T.
640 FULLER AVE
SAN JOSE, CA 95125-2224
Phone number: 831-238-3393
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Mailing Address
Mr. DEAN SCOTT GOODELL P.T.
640 FULLER AVE
SAN JOSE, CA 95125-2224
Phone number: 831-238-3393
Copy
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