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Individual

GLORIA JEAN GOULDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
3031 E CHARLESTON AVE, PHOENIX, AZ 85032-1172
(217) 474-6006
Mailing address
3031 E CHARLESTON AVE, PHOENIX, AZ 85032-1172
(217) 474-6006

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MT-12526
AZ

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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