MICHAEL VINCENT BANNON

RICHBORO, PA
NPI1760747281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RTO000121)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
Mr. MICHAEL VINCENT BANNON ATC, LAT
100 ALMSHOUSE RD
RICHBORO, PA 18954-1108
Phone number: 215-357-2000
Mailing Address
Mr. MICHAEL VINCENT BANNON ATC, LAT
920 MONARCH CT
CHALFONT, PA 18914-2057
Phone number:
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