Individual
MR. JOHN SCHUYLER GAMMON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
488 BULL RUN RD, LISBON, NY 13658-3257
(315) 393-4204
Mailing address
488 BULL RUN RD, LISBON, NY 13658-3257
(315) 393-4204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0176961
NY
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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