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Individual

CHERICE GANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 W BROADWAY AVE, SCOTTVILLE, MI 49454-1016
(231) 757-3978
Mailing address
107 W BROADWAY AVE, SCOTTVILLE, MI 49454-1016
(231) 757-3978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704222465
MI

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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