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1801406467
NICHOLAS DAVID LONGFELLOW
SAINT LOUIS, MO
NPI
1801406467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2020029661)
Enumeration Date
2020-08-07
Last Update Date
2021-11-15
Business Address
Mr. NICHOLAS DAVID LONGFELLOW ACNP
1 BARNES JEWISH HOSPITAL PLZ DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110-1003
Phone number: 800-862-9980
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Mailing Address
Mr. NICHOLAS DAVID LONGFELLOW ACNP
660 S EUCLID AVE CB 8054
SAINT LOUIS, MO 63110-1010
Phone number: 800-862-9980
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