Individual
GABRIEL A CULLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2328 E 40TH ST, DES MOINES, IA 50317-5624
(515) 422-0606
Mailing address
2328 E 40TH ST, DES MOINES, IA 50317-5624
(515) 422-0606
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
3343
IA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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