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1568019974
MINA ARIELLA GOODMAN
PHOENIX, AZ
NPI
1568019974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86093671)
Enumeration Date
2019-08-20
Last Update Date
2020-06-05
Business Address
MS. MINA ARIELLA GOODMAN RD
20440 N 27TH AVE
PHOENIX, AZ 85027-3240
Phone number: 480-882-4545
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Mailing Address
MS. MINA ARIELLA GOODMAN RD
1111 E UNIVERSITY DR UNIT 205
TEMPE, AZ 85281-4265
Phone number: 646-256-5977
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