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1922242718
FARRELL GODBOUT
CHICAGO, IL
NPI
1922242718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209.009305)
Enumeration Date
2009-04-24
Last Update Date
2013-02-08
Business Address
-- FARRELL GODBOUT APN
1950 W ROOSEVELT RD
CHICAGO, IL 60608-1245
Phone number: 312-433-3100
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Mailing Address
-- FARRELL GODBOUT APN
950 E 61ST ST SUITE 207
CHICAGO, IL 60637-2623
Phone number: 203-980-3553
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