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1295194447
LAUREN GODDARD
SELMA, AL
NPI
1295194447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-133873)
Enumeration Date
2016-02-16
Last Update Date
2017-02-09
Business Address
-- LAUREN GODDARD CRNP
713 J. L. CHESTNUT BLVD
SELMA, AL 36702
Phone number: 334-874-7428
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Mailing Address
-- LAUREN GODDARD CRNP
1909 PALMETTO CIR
DEMOPOLIS, AL 36732-4025
Phone number: 601-832-0662
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