BARON K SHORT

O FALLON, IL
NPI1811220577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: IL  3949-4810)
Enumeration Date2009-09-14
Last Update Date2009-09-14
Business Address
Mr. BARON K SHORT
729 W US HIGHWAY 50 STE F
O FALLON, IL 62269-1972
Phone number: 618-447-3392
Mailing Address
Mr. BARON K SHORT
729 W US HIGHWAY 50 STE F
O FALLON, IL 62269-1972
Phone number: 618-447-3392
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