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1235543281
THOMAS DALE GODFREY
GREENVILLE, SC
NPI
1235543281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: SC 18871)
Enumeration Date
2014-06-18
Last Update Date
2021-06-11
Business Address
THOMAS DALE GODFREY GNP
1005 GROVE RD
GREENVILLE, SC 29605-4630
Phone number: 864-455-6900
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Mailing Address
THOMAS DALE GODFREY GNP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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