LUCAS SHANE GODWIN

FPO, AP
NPI1770291080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2022-11-07
Last Update Date2023-09-11
Business Address
LUCAS SHANE GODWIN SFIDC
PSC 466 BX 3
FPO, AP 96595-0001
Phone number: 315-370-4232
Mailing Address
LUCAS SHANE GODWIN SFIDC
PSC 466 BOX 3
FPO, AP 96595-0001
Phone number: 315-370-4232
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