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1053700476
CHRISTOPHER GODDARD
CINCINNATI, OH
NPI
1053700476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OH COA 16953 NP)
Enumeration Date
2015-01-22
Last Update Date
2019-03-13
Business Address
CHRISTOPHER GODDARD
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-558-4252
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Mailing Address
CHRISTOPHER GODDARD
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 45263-6256
Phone number: 513-245-3104
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