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1588758551
GARY GOODMAN
ORANGE, CA
NPI
1588758551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: CA G45219)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- GARY GOODMAN M.D.
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-532-8620
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Mailing Address
-- GARY GOODMAN M.D.
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-289-4511
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