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1699305839
SAMUEL C GODWIN
LOS ANGELES, CA
NPI
1699305839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95013690)
Enumeration Date
2020-01-15
Last Update Date
2020-01-16
Business Address
Mr. SAMUEL C GODWIN NP
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-1000
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Mailing Address
Mr. SAMUEL C GODWIN NP
8801 S 8TH AVE
INGLEWOOD, CA 90305-2429
Phone number: 323-347-9220
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