Individual
LEAH SUSAN GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
2121 OAK VALLEY DR, ANN ARBOR, MI 48103-8901
(734) 998-8791
Mailing address
5514 CAMBRIDGE CLUB CIR, APT. 105, ANN ARBOR, MI 48103-9252
(920) 242-0961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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