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1780929679
RICKY VINSON GANN
ROME, GA
NPI
1780929679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: GA OT004440)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Mr. RICKY VINSON GANN MS, OTR/L
809 S BROAD ST SW
ROME, GA 30161-4654
Phone number: 706-235-1337
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Mailing Address
Mr. RICKY VINSON GANN MS, OTR/L
20 EAST DR NW
ROME, GA 30165-1819
Phone number:
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