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1053303024
CHARLES SANFORD GANNON
TUCSON, AZ
NPI
1053303024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: AZ 6156)
Enumeration Date
2005-08-16
Last Update Date
2012-05-03
Business Address
Mr. CHARLES SANFORD GANNON MD
1645 N. ALVERNON WAY #1
TUCSON, AZ 85712
Phone number: 520-881-7474
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Mailing Address
Mr. CHARLES SANFORD GANNON MD
1645 N. ALVERNON WAY #1
TUCSON, AZ 85712-3353
Phone number: 520-881-7474
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