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1760810832
KRISTY MARIE GOODMAN
LOS ANGELES, CA
NPI
1760810832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 51236)
Enumeration Date
2013-10-28
Last Update Date
2021-11-03
Business Address
Miss KRISTY MARIE GOODMAN MS, MPH, PA-C
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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Mailing Address
Miss KRISTY MARIE GOODMAN MS, MPH, PA-C
4854 WHISKEY HILL RD
WOLCOTT, NY 14590-9318
Phone number: 315-594-6043
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