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1306137005
KEVIN MICHAL ANDREW GOODMAN
SAN LUIS OBISPO, CA
NPI
1306137005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 104925)
Enumeration Date
2011-04-28
Last Update Date
2018-09-17
Business Address
KEVIN MICHAL ANDREW GOODMAN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4973
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Mailing Address
KEVIN MICHAL ANDREW GOODMAN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4973
Copy
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