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Individual

SUSAN M GAFFNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
621 S NEW BALLAS RD, STE 1017B, SAINT LOUIS, MO 63141-8232
(314) 993-6401
(314) 993-5475
Mailing address
621 S NEW BALLAS RD, STE 1017B, SAINT LOUIS, MO 63141-8232
(314) 993-6401
(314) 993-5475

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
074890
MO

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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