BENJAMIN MORRIS GANNON

SIOUX FALLS, SD
NPI1285171132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0724)
Enumeration Date2017-01-30
Last Update Date2024-09-11
Business Address
BENJAMIN MORRIS GANNON ATC
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-331-5890
Mailing Address
BENJAMIN MORRIS GANNON ATC
1112 W 27TH ST
SIOUX FALLS, SD 57105-2707
Phone number: 510-220-7760
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