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1770554040
STEPHANIE M. GODDARD
WINSTON SALEM, NC
NPI
1770554040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 201803)
Enumeration Date
2006-01-27
Last Update Date
2012-04-05
Business Address
-- STEPHANIE M. GODDARD NP
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
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Mailing Address
-- STEPHANIE M. GODDARD NP
4692 BROWNSBORO RD
WINSTON SALEM, NC 27106-3410
Phone number: 336-251-1114
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