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1588293195
BRIAN ROBERT GOODMAN
LOUISVILLE, KY
NPI
1588293195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
BRIAN ROBERT GOODMAN DO
550 S JACKSON ST FL STREET3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
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Mailing Address
BRIAN ROBERT GOODMAN DO
550 S JACKSON ST FL STREET3
LOUISVILLE, KY 40202-1622
Phone number: 502-852-5666
Copy
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