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1932711637
JOHN GOODYEAR
PAWTUCKET, RI
NPI
1932711637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT03298)
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
JOHN GOODYEAR
21 DIVISION ST
PAWTUCKET, RI 02860-5352
Phone number: 401-726-7100
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Mailing Address
JOHN GOODYEAR
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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