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PHILLLIP GOODMAN

Optician

NPI: 1760072896Individual

Specialties, Licenses & Credentials

OpticianPrimary

Technician/Technologist — Optician

Code: 156FX1800X

010346(NY)

Contact & Hours

Address
204 MAIN STREET SHOP CTR
WATERLOO, NY 13165

Quick Facts

NPI
1760072896
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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