RONNIE LEE GODBOLT

CHARLESTON AFB, SC
NPI1104054659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-06-23
Last Update Date2009-06-23
Business Address
-- RONNIE LEE GODBOLT IDMT
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6936
Mailing Address
-- RONNIE LEE GODBOLT IDMT
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 843-963-6936
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