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Individual
REBECCA GOODSTEIN
Active
Individual
REBECCA GOODSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
790369
CA
363L00000X
Nurse Practitioner
Primary
95011865
CA
Other
Enumeration date
07/07/2019
Last updated
08/12/2019
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