NICOLE GOODMAN, ATC, LAT
Student, Health Care at State Highway 64, Tyler, TX

License number
Texas AT6334
Category
Student, Health Care
Type
Student in an Organized Health Care Education/Training Program
Address
Address 2
13172 State Highway 64 E, Tyler, TX 75707
5613 Oakmeadow Dr APT 906, Fort Worth, TX 76132
Phone
(502) 542-0583
National Provider ID: 1609224393
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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