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1174898332
MCRAE GOODMAN
PLEASANT GROVE, UT
NPI
1174898332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
-- MCRAE GOODMAN
1344 W STATE RD
PLEASANT GROVE, UT 84062-5022
Phone number: 801-785-8870
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Mailing Address
-- MCRAE GOODMAN
1344 W STATE RD
PLEASANT GROVE, UT 84062-5022
Phone number: 801-785-8870
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