MICHAEL O'BANNON

SNELLVILLE, GA
NPI1750771531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: GA  175T00000X)
Enumeration Date2015-01-30
Last Update Date2015-01-30
Business Address
-- MICHAEL O'BANNON
3708 CHINABERRY LN
SNELLVILLE, GA 30039-4053
Phone number: 678-768-4096
Mailing Address
-- MICHAEL O'BANNON
3708 CHINABERRY LN
SNELLVILLE, GA 30039-4053
Phone number: 678-768-4096
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