Individual
GORDON FLANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 FLEMING FALLS RD, MANSFIELD, OH 44905-1341
(419) 631-2886
Mailing address
1160 FLEMING FALLS RD, MANSFIELD, OH 44905-1341
(419) 631-2886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RQ953947
OH
261QA0600X
Adult Day Care Clinic/Center
RQ953947
OH
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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