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1295103364
MICHELLE M GODFREY PA
MOUNTAIN HOME, AR
NPI
1295103364
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Entity Type
Organization
Authorized Contact
MICHELLE GODFREY
President
870-405-0382
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AR E-2846)
Enumeration Date
2015-09-08
Last Update Date
2015-09-08
Business Address
MICHELLE M GODFREY PA
901 BURNETT DR
MOUNTAIN HOME, AR 72653-2908
Phone number: 870-424-4935
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Mailing Address
MICHELLE M GODFREY PA
PO BOX 305
MOUNTAIN HOME, AR 72654-0305
Phone number: 870-405-0382
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