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1346082963
ETHAN GODDARD
SAINT GEORGE, UT
NPI
1346082963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
ETHAN GODDARD
474 W 200 N # 300
SAINT GEORGE, UT 84770-4505
Phone number: 435-634-5600
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Mailing Address
ETHAN GODDARD
474 W 200 N # 300
SAINT GEORGE, UT 84770-4505
Phone number: 435-634-5600
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