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1639924327
MARK SPENCER GOODMAN
CLEVELAND, OH
NPI
1639924327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
MARK SPENCER GOODMAN
3701 LORAIN AVE
CLEVELAND, OH 44113-3707
Phone number: 765-251-3466
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Mailing Address
MARK SPENCER GOODMAN
1463 E 105TH ST
CLEVELAND, OH 44106-1137
Phone number: 765-251-3466
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