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Individual

JUSTIN HAYGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
Mailing address
712 ESSEX AVE, ROMEOVILLE, IL 60446-1127
(815) 325-1715

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022046651
MO

Other

Enumeration date
12/30/2022
Last updated
12/30/2022
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