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1518447010
HALEY GANNON
SPRINGFIELD, OH
NPI
1518447010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA007251)
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
HALEY GANNON COTA/L
25 W PLEASANT ST
SPRINGFIELD, OH 45506-2278
Phone number: 937-325-7671
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Mailing Address
HALEY GANNON COTA/L
6430 GREENRIDGE AVE
NEW CARLISLE, OH 45344-9011
Phone number: 937-903-9755
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