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Individual

CLARA GODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
99535958
FL

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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