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Organization
GOLD LEAF ENTERPRISES, INC
Active
Organization
GOLD LEAF ENTERPRISES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRI G COOMER (PRESIDENT)
(573) 243-9900
Entity
Organization
Contact information
Practice address
1166 GREENWAY DR STE B5, JACKSON, MO 63755-2921
(573) 866-9900
Mailing address
1166 GREENWAY DR STE B5, JACKSON, MO 63755-2921
(573) 866-9900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MO
343900000X
Non-emergency Medical Transport (VAN)
—
MO
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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