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1649237454
DIANE RENE GODMAN
SALEM, VA
NPI
1649237454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110001198)
Enumeration Date
2006-04-26
Last Update Date
2011-11-29
Business Address
-- DIANE RENE GODMAN PA-C
1970 BOULEVARD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
-- DIANE RENE GODMAN PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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