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1558433219
GLENN WILLIAM GODFREY
POCATELLO, ID
NPI
1558433219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D1592)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
DR. GLENN WILLIAM GODFREY DDS
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201-2755
Phone number: 208-233-8750
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Mailing Address
DR. GLENN WILLIAM GODFREY DDS
1980 BIRDIE THOMPSON DR
POCATELLO, ID 83201-2755
Phone number: 208-233-8750
Copy
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