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1174993711
SEAN P. GANNUTZ
ROGERSVILLE, MO
NPI
1174993711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2015032410)
Enumeration Date
2015-09-25
Last Update Date
2018-10-24
Business Address
SEAN P. GANNUTZ PA-C
151 JOHNSTOWN DR
ROGERSVILLE, MO 65742-9366
Phone number: 417-269-2252
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Mailing Address
SEAN P. GANNUTZ PA-C
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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