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1720226533
KIM ETHEL GOODSELL
CERES, CA
NPI
1720226533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A77554)
Enumeration Date
2009-02-02
Last Update Date
2011-03-02
Business Address
-- KIM ETHEL GOODSELL M.D.
2516 E WHITMORE AVE
CERES, CA 95307-2645
Phone number: 209-538-1733
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Mailing Address
-- KIM ETHEL GOODSELL M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211
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