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Individual
MARK AARON GOFF
Active
Individual
MARK AARON GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E14889
ID
183500000X
Pharmacist
INT 27392
CA
183500000X
Pharmacist
Primary
IR 60151855
WA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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