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1700317310
KEITH GOODMAN
PASCO, WA
NPI
1700317310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA OP60946658)
Enumeration Date
2017-03-24
Last Update Date
2024-01-15
Business Address
KEITH GOODMAN
1608 ROAD 44
PASCO, WA 99301-2667
Phone number: 509-543-9820
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Mailing Address
KEITH GOODMAN
1608 ROAD 44
PASCO, WA 99301-2667
Phone number: 509-543-9820
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