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1053824763
ERIC M. GODDARD
FORT WAYNE, IN
NPI
1053824763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002367A)
Enumeration Date
2017-11-16
Last Update Date
2024-08-14
Business Address
ERIC M. GODDARD PA-C
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-434-6322
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Mailing Address
ERIC M. GODDARD PA-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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