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EDMOND GODBOUT, PA

PA

Physician Assistant

NPI: 1710991955Individual

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

PA00090(RI)

Contact & Hours

Address
593 EDDY ST, CLAVERICK 2
PROVIDENCE, RI 02903

Quick Facts

NPI
1710991955
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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