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Individual

LANCE E GUNNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT, LPTA

Contact information

Practice address
1827 HARRISON AVE UNIT 4, PANAMA CITY, FL 32405-7606
(850) 872-7022
Mailing address
7410 SALE BLVD, SOUTHPORT, FL 32409-1350
(850) 271-4371

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA18764
FL
2255A2300X
Athletic Trainer
Primary
AL62
FL

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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