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1124195995
BRENT E GOODSPEED
BAKERSFIELD, CA
NPI
1124195995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14960)
Enumeration Date
2006-11-29
Last Update Date
2021-12-03
Business Address
BRENT E GOODSPEED PA
3733 SAN DIMAS ST
BAKERSFIELD, CA 93301-1407
Phone number: 800-353-5400
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Mailing Address
BRENT E GOODSPEED PA
3733 SAN DIMAS ST
BAKERSFIELD, CA 93301-1407
Phone number: 800-353-5400
Copy
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