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1639571359
KEVIN GOOCH
SAN DIEGO, CA
NPI
1639571359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-09-24
Last Update Date
2017-02-08
Business Address
Mr. KEVIN GOOCH IDC
4221 34TH ST APT #25
SAN DIEGO, CA 92104-1400
Phone number: 760-365-7375
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Mailing Address
Mr. KEVIN GOOCH IDC
4221 34TH ST APT #25
SAN DIEGO, CA 92104-1400
Phone number: 910-388-4929
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