Individual
HARRISON GANONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 PAKACHOAG ST, AUBURN, MA 01501-3128
(774) 633-7492
Mailing address
102 PAKACHOAG ST, AUBURN, MA 01501-3128
(774) 633-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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