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1659650786
DAVID MICHAEL GODSHALL
FOND DU LAC, WI
NPI
1659650786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9119)
Enumeration Date
2011-08-07
Last Update Date
2011-08-07
Business Address
Mr. DAVID MICHAEL GODSHALL RPh
20 W PIONEER RD
FOND DU LAC, WI 54935-6152
Phone number: 920-907-0556
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Mailing Address
Mr. DAVID MICHAEL GODSHALL RPh
118 SOUTH MADISON STREET
WAUPUN, WI 53963
Phone number: 920-324-5649
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