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1366033359
GODDARD MEDICAL, LLC
OVERLAND PARK, KS
NPI
1366033359
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Entity Type
Organization
Authorized Contact
MARIA SHEELENE GODDARD
Chief Executive Officer
913-735-9044
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2021-02-01
Last Update Date
2021-02-25
Business Address
GODDARD MEDICAL, LLC
11936 W 119TH ST # 158
OVERLAND PARK, KS 66213-2216
Phone number: 913-735-9044
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Mailing Address
GODDARD MEDICAL, LLC
11936 W 119TH ST # 158
OVERLAND PARK, KS 66213-2216
Phone number: 913-735-9044
Copy
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