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Individual

DR. CHARLES DEHARD GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
751 BLOSSOM HILL RD, SUITE A1, LOS GATOS, CA 95032-3583
(408) 358-8180
(408) 356-8214
Mailing address
751 BLOSSOM HILL RD, SUITE A1, LOS GATOS, CA 95032-3583
(408) 358-8180
(408) 356-8214

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC-1062
HI
111N00000X
Chiropractor
Primary
DC25059
CA

Other

Enumeration date
07/12/2006
Last updated
10/21/2011
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