KIM DALE GOODRUM

MODESTO, CA
NPI1558520114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  696742)
Enumeration Date2008-06-08
Last Update Date2008-06-08
Business Address
Mr. KIM DALE GOODRUM R.N.
825 PALMILLA DR
MODESTO, CA 95356-1152
Phone number: 209-572-3243
Mailing Address
Mr. KIM DALE GOODRUM R.N.
825 PALMILLA DR
MODESTO, CA 95356-1152
Phone number: 209-572-3243
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