Gershom Norfleet

NPI 1346445970 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1346445970
Gender Male
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1402 S GRAND BLVD
SAINT LOUIS MO, 63104-1004, US
Phone (314) 577-8782
Fax
Business Location
1110 E PARKEDGE LN
SAINT LOUIS MO, 63130-2231, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Missouri
License Number 2006006978
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According to our database, Gershom Norfleet NPI is 1346445970, taxonomy code is 390200000X and license number is 2006006978, license state is located at Missouri. Gershom Norfleet physically located at 1402 S Grand Blvd, Saint Louis MO, 63104-1004. NPI Number Gershom Norfleet has the Individual type.

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1346445970 NPI number is provided on an as is basis without warranty of any kind. 1346445970 is maintained by the National Plan & Provider Enumeration System. The contents of Gershom Norfleet are for informational purposes only.