RICHARD GANNON

CHEYENNE, WY
NPI1962630145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-06-26
Last Update Date2015-07-18
Business Address
-- RICHARD GANNON
109 E 8TH AVE
CHEYENNE, WY 82001-1315
Phone number: 307-625-7100
Mailing Address
-- RICHARD GANNON
109 E 8TH AVE
CHEYENNE, WY 82001-1315
Phone number: 307-635-7100