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Individual

TRACY LYNN GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 937-1831
(972) 937-1835
Mailing address
101 YMCA DR, WAXAHACHIE, TX 75165-5124
(972) 937-1831
(972) 937-1835

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
07/26/2013
Last updated
10/16/2013
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