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1538147129
LEIF GEORGE NORDSTROM
EAST LONGMEADOW, MA
NPI
1538147129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: MA 45445)
Enumeration Date
2006-01-04
Last Update Date
2012-03-05
Business Address
Dr. LEIF GEORGE NORDSTROM M.D.
294 N MAIN ST SUITE 101
EAST LONGMEADOW, MA 01028-1838
Phone number: 413-525-1870
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Mailing Address
Dr. LEIF GEORGE NORDSTROM M.D.
294 N MAIN ST SUITE 101
EAST LONGMEADOW, MA 01028-1838
Phone number: 413-525-1870
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