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Individual

DAVID DOUGLAS GOODISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 CROWN POINT CIR STE 120, GRASS VALLEY, CA 95945-9561
(530) 273-5440
(530) 273-5479
Mailing address
500 CROWN POINT CIR STE 120, GRASS VALLEY, CA 95945-9561
(530) 273-5440
(530) 273-5479

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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