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1093491110
HAVEN GOODMAN
SALT LAKE CITY, UT
NPI
1093491110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
HAVEN GOODMAN
280 E 600 S STE 100
SALT LAKE CITY, UT 84111-3564
Phone number: 801-539-7019
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Mailing Address
HAVEN GOODMAN
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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