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1982838264
ROBERT J GOODRICH
LAKE HAVASU CITY, AZ
NPI
1982838264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QB0002X Family Medicine, Bariatric Medicine
(Licence: AZ 16984)
Enumeration Date
2009-05-14
Last Update Date
2009-05-14
Business Address
-- ROBERT J GOODRICH MD CST
1930 MESQUITE AVE STE 2
LAKE HAVASU CITY, AZ 86403-5772
Phone number: 928-854-7962
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Mailing Address
-- ROBERT J GOODRICH MD CST
1930 MESQUITE AVE STE 2
LAKE HAVASU CITY, AZ 86403-5772
Phone number: 928-854-7962
Copy
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