DAMON EDWIN SHANKS

SPRINGFIELD, OH
NPI1649503558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
Mr. DAMON EDWIN SHANKS IDMT
5215 FONTAINE LN
SPRINGFIELD, OH 45502-9816
Phone number: 937-525-2582
Mailing Address
Mr. DAMON EDWIN SHANKS IDMT
5215 FONTAINE LN
SPRINGFIELD, OH 45502-9816
Phone number: 937-525-2582