GARY BOHANNON

BRAINERD, MN
NPI1467430603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MN  24755)
Enumeration Date2006-01-06
Last Update Date2007-07-25
Business Address
-- GARY BOHANNON
2024 S 6TH ST
BRAINERD, MN 56401-4529
Phone number: 218-825-7100
Mailing Address
-- GARY BOHANNON
2024 S 6TH ST
BRAINERD, MN 56401-4529
Phone number: 218-825-7100
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