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1386609600
KENNETH I GOODMAN
CLEVELAND, OH
NPI
1386609600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35058661G)
Enumeration Date
2006-04-19
Last Update Date
2008-02-04
Business Address
-- KENNETH I GOODMAN MD
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- KENNETH I GOODMAN MD
6000 W CREEK RD SUITE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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