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1790238293
GARTH GOUDELOCK
PLACERVILLE, CA
NPI
1790238293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
-- GARTH GOUDELOCK
929 SPRING ST
PLACERVILLE, CA 95667-4543
Phone number: 530-621-6143
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Mailing Address
-- GARTH GOUDELOCK
929 SPRING ST
PLACERVILLE, CA 95667-4543
Phone number: 530-621-6143
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