Individual
DR. JENNIFER SAKURA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, FAAO
Contact information
Practice address
BLACKFEET COMMUNITY HOSPITAL EYE CLINIC, HOPSITAL CIRCLE, BROWNING, MT 59417
(406) 338-6140
Mailing address
29 HALL, CUT BANK, MT 59427-9220
(406) 336-2657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
233
AK
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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