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1992124028
TRACI GOODMAN
HENDERSON, KY
NPI
1992124028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32001623A)
Enumeration Date
2014-04-16
Last Update Date
2014-04-16
Business Address
-- TRACI GOODMAN
1521 WRIGHT ST
HENDERSON, KY 42420-4553
Phone number: 270-577-7912
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Mailing Address
-- TRACI GOODMAN
1521 WRIGHT ST
HENDERSON, KY 42420-4553
Phone number:
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