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STEPHANIE A GODBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
200 BOWMAN DR, SUITE E-100, VOORHEES, NJ 08043-9623
(609) 267-9400
Mailing address
4 EVES DR # A, SUITE 100, MARLTON, NJ 08053-3195
(609) 267-9400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00167100
NJ

Other

Enumeration date
11/01/2006
Last updated
02/23/2015
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