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Baron Short
NPI 1811220577 · on the registry since 2009 · sole proprietor
Practice
- Address
- 729 W Us Highway 50
Ste F
O Fallon, IL 62269 - Phone
- (618) 447-3392
Registry record
- Primary taxonomy
- Customized Equipment (DME)
332BC3200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois