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1598847931
DINA P GOODMAN
MINOT, ND
NPI
1598847931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1400)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- DINA P GOODMAN LAC
6301 19TH AVE NW
MINOT, ND 58703
Phone number: 701-858-0115
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Mailing Address
-- DINA P GOODMAN LAC
6301 19TH AVE NW
MINOT, ND 58703
Phone number: 701-858-0115
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