Gold Leaf Enterprises Inc | |
1166 Greenway Dr Suite B5 Jackson MO 63755-2913 | |
(573) 243-9900 | |
(573) 243-5320 |
Full Name | Gold Leaf Enterprises Inc |
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Speciality | Counselor - Mental Health |
Location | 1166 Greenway Dr, Jackson, Missouri |
Authorized Official Name and Position | Sherri Gail Coomer (PRESIDENT) |
Authorized Official Contact | 5732439900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gold Leaf Enterprises Inc 1166 Greenway Dr Suite B5 Jackson MO 63755-2913 Ph: (573) 243-9900 | Gold Leaf Enterprises Inc 1166 Greenway Dr Suite B5 Jackson MO 63755-2913 Ph: (573) 243-9900 |
NPI Number | 1326200056 |
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Provider Enumeration Date | 06/25/2008 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
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1326200056 | NPI | - | NPPES |
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