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1417350497
VICKIE GODBOLD
SYRACUSE, NY
NPI
1417350497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 277544-1)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
Miss VICKIE GODBOLD LPN
501 BELLEVUE AVE
SYRACUSE, NY 13204
Phone number: 315-558-2202
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Mailing Address
Miss VICKIE GODBOLD LPN
501 BELLEVUE AVE
SYRACUSE, NY 13204
Phone number: 315-558-2202
Copy
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