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1982750352
EDITH SHUNK GOODWIN
COUNCIL BLUFFS, IA
NPI
1982750352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: IA 00987)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
EDITH SHUNK GOODWIN PT
2600 S 9TH ST
COUNCIL BLUFFS, IA 51501-7541
Phone number: 712-322-7354
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Mailing Address
EDITH SHUNK GOODWIN PT
1918 AVENUE B
COUNCIL BLUFFS, IA 51501-2438
Phone number: 712-322-2903
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