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1053498956
STEPHANIE A GODBOLD
VOORHEES, NJ
NPI
1053498956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00167100)
Enumeration Date
2006-11-01
Last Update Date
2015-02-23
Business Address
-- STEPHANIE A GODBOLD PA C
200 BOWMAN DR SUITE E-100
VOORHEES, NJ 08043-9623
Phone number: 609-267-9400
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Mailing Address
-- STEPHANIE A GODBOLD PA C
4 EVES DR # A SUITE 100
MARLTON, NJ 08053-3195
Phone number: 609-267-9400
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