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1447685862
NICOLE GOODRUM
ENCINO, CA
NPI
1447685862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: CA CFY8263)
Enumeration Date
2013-09-04
Last Update Date
2013-09-04
Business Address
NICOLE GOODRUM
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number: 818-788-1003
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Mailing Address
NICOLE GOODRUM
16500 VENTURA BLVD STE 414
ENCINO, CA 91436-5050
Phone number:
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