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1972237501
AUNDREA GOODMAN
LOS ANGELES, CA
NPI
1972237501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
Dr. AUNDREA GOODMAN DDS
714 TIVERTON AVE
LOS ANGELES, CA 90095-8361
Phone number: 501-612-5843
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Mailing Address
Dr. AUNDREA GOODMAN DDS
1623 W 25TH ST
LOS ANGELES, CA 90007-1529
Phone number: 501-612-5843
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