Individual
MR. JOHN EUGENE NIMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5703
(573) 332-0416
Mailing address
340 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2004002713
MO
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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