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1598314015
DAVID GOODMAN
COLTON, CA
NPI
1598314015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: DC 95192507)
Enumeration Date
2019-09-06
Last Update Date
2019-09-06
Business Address
DAVID GOODMAN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
DAVID GOODMAN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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