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Individual
DR. FREDISHA MANNING GOODFELLOW
Active
Individual
DR. FREDISHA MANNING GOODFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28054
TX
122300000X
Dentist
Primary
3873
AR
122300000X
Dentist
9471
TN
Other
Enumeration date
07/06/2012
Last updated
04/17/2015
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