BUD BANNON

FEDERAL WAY, WA
NPI1598141681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A160293092)
Enumeration Date2015-07-31
Last Update Date2015-07-31
Business Address
-- BUD BANNON ATC
952 SW CAMPUS DR 09-E1
FEDERAL WAY, WA 98023-5056
Phone number: 360-621-3908
Mailing Address
-- BUD BANNON ATC
952 SW CAMPUS DR 09-E1
FEDERAL WAY, WA 98023-5056
Phone number: 360-621-3908
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