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1932474566
KRISTINE L GODBOLD
DETROIT, MI
NPI
1932474566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MI 883716)
Enumeration Date
2012-03-15
Last Update Date
2012-03-22
Business Address
Ms. KRISTINE L GODBOLD R.D.
7900 KERCHEVAL ST
DETROIT, MI 48214-2439
Phone number: 313-921-5500
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Mailing Address
Ms. KRISTINE L GODBOLD R.D.
13901 E JEFFERSON AVE
DETROIT, MI 48215-2720
Phone number: 313-921-5500
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