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1396731352
WARREN G GOODMAN
PRESCOTT, AZ
NPI
1396731352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 15335)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
-- WARREN G GOODMAN md
1000 AINSWORTH DR SUITE 115
PRESCOTT, AZ 86305-1667
Phone number: 928-778-1971
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Mailing Address
-- WARREN G GOODMAN md
1000 AINSWORTH DR SUITE 115
PRESCOTT, AZ 86305-1667
Phone number: 928-778-1971
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