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1972613750
TIMOTHY S BANNON
GASTONIA, NC
NPI
1972613750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: NC 200001321211)
Enumeration Date
2006-08-30
Last Update Date
2015-01-28
Business Address
Mr. TIMOTHY S BANNON DC
411 E FRANKLIN BLVD
GASTONIA, NC 28054-7152
Phone number: 704-864-7774
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Mailing Address
Mr. TIMOTHY S BANNON DC
411 E FRANKLIN BLVD
GASTONIA, NC 28054-7152
Phone number: 704-864-7774
Copy
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