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1023644291
MARTHA CANON
NEW YORK, NY
NPI
1023644291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: NY 009898)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
MARTHA CANON LDO
1440 BROADWAY # 10826
NEW YORK, NY 10018-2301
Phone number: 212-221-3844
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Mailing Address
MARTHA CANON LDO
11605 N LAMAR BLVD
AUSTIN, TX 78753-2658
Phone number: 737-222-6996
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