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1346928975
COLLEEN NICOLE GODDARD
RUSSELLVILLE, AR
NPI
1346928975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR 225193)
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
COLLEEN NICOLE GODDARD APRN
1605 W MAIN ST
RUSSELLVILLE, AR 72801-2719
Phone number: 479-219-5008
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Mailing Address
COLLEEN NICOLE GODDARD APRN
1605 W MAIN ST
RUSSELLVILLE, AR 72801-2719
Phone number:
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