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1528788213
MIRANDA GOODMAN
SAN DIEGO, CA
NPI
1528788213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
MIRANDA GOODMAN IDC
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-7000
Phone number: 619-532-7968
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Mailing Address
MIRANDA GOODMAN IDC
277 G ST # B
CHULA VISTA, CA 91910-3927
Phone number: 217-721-1422
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