CHARLEE GANN

MOUNTAIN GROVE, MO
NPI1164896932
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  2015018842)
Enumeration Date2015-11-17
Last Update Date2015-11-17
Business Address
-- CHARLEE GANN RDH
1604 C NORTH MAIN STREET
MOUNTAIN GROVE, MO 65711
Phone number: 417-926-1713
Mailing Address
-- CHARLEE GANN RDH
PO BOX 1359
AVA, MO 65608-1359
Phone number: 417-683-4831