JENNIE L GORHAM

SPRINGFIELD, MO
NPI1730166257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  DO100997)
Enumeration Date2005-12-27
Last Update Date2015-01-21
Business Address
-- JENNIE L GORHAM DO
3555 S NATIONAL AVE #302
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-6868
Mailing Address
-- JENNIE L GORHAM DO
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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