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1760241962
DOMINIQUE SALINA GOODMAN
MODESTO, CA
NPI
1760241962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA64074)
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
DOMINIQUE SALINA GOODMAN PA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-526-4500
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Mailing Address
DOMINIQUE SALINA GOODMAN PA
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number:
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