G DWAYNE GANN

DECATUR, AL
NPI1003831900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence:   259436)
Additional Taxonomies2471M1202X Radiologic Technologist, Magnetic Resonance Imaging
(Licence:   259436)
Enumeration Date2006-07-12
Last Update Date2007-07-08
Business Address
Mr. G DWAYNE GANN R,MR
1201 13TH AVE SE
DECATUR, AL 35601-4300
Phone number: 256-350-7779
Mailing Address
Mr. G DWAYNE GANN R,MR
1804 WOODALL RD SW
DECATUR, AL 35603-4314
Phone number: 256-306-0554
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