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1457666919
JOHN GANNON
UTICA, NY
NPI
1457666919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 267747)
Enumeration Date
2010-08-09
Last Update Date
2010-08-09
Business Address
-- JOHN GANNON
1900 GENESEE ST
UTICA, NY 13502-5635
Phone number: 315-797-7050
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Mailing Address
-- JOHN GANNON
315 STEUBEN ST
HERKIMER, NY 13350-1209
Phone number:
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