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1801426127
KELLEY ERIN GODBOUT
WINSTON SALEM, NC
NPI
1801426127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10761)
Enumeration Date
2020-01-26
Last Update Date
2022-07-21
Business Address
KELLEY ERIN GODBOUT PA-C
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-4963
Phone number: 336-716-2011
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Mailing Address
KELLEY ERIN GODBOUT PA-C
5019 OLDE STONE LN
MATTHEWS, NC 28104-3354
Phone number:
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