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1922765056
EVODIA JEANETTE GODFREY
SPARTANBURG, SC
NPI
1922765056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 25615)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
EVODIA JEANETTE GODFREY APRN
460 LANGDON ST
SPARTANBURG, SC 29302-1614
Phone number: 864-582-2411
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Mailing Address
EVODIA JEANETTE GODFREY APRN
PO BOX 5158
SPARTANBURG, SC 29304-5158
Phone number: 864-582-2411
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