John P. Goodman

BUSINESS ADDRESS:
1126 N CHURCH ST
SUITE 102
Greensboro, NC 274011000

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	1126 N CHURCH ST SUITE 102 Greensboro, NC 274011000
PHONE:	(336) 370-4040
FAX:	(336) 370-4566

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
State
Postal Code		90210, 90210-1234
Phone		(213) 555-1234
Fax		(213) 555-1234
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