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Individual
DR. MARILYN F GOODMAN
Active
Individual
DR. MARILYN F GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015950 01
—
TX
01
—
83410X
BLUE CROSS ID NUMBER
TX
Enumeration date
02/08/2007
Last updated
02/15/2022
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