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1033990148
KRISZTINA BODOG GOODMAN
SAN DIEGO, CA
NPI
1033990148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-10-13
Last Update Date
2023-10-13
Business Address
KRISZTINA BODOG GOODMAN PsyD
3914 MURPHY CANYON RD STE A205
SAN DIEGO, CA 92123-4423
Phone number: 858-345-7103
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Mailing Address
KRISZTINA BODOG GOODMAN PsyD
4720 FAIRPORT WAY
SAN DIEGO, CA 92130-8714
Phone number: 858-794-7332
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