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1063897635
SHAWONA CANNON DANIEL
MONTGOMERY, AL
NPI
1063897635
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-093462)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
Ms. SHAWONA CANNON DANIEL CRNP
2034 CHESTNUT ST
MONTGOMERY, AL 36106-1111
Phone number: 334-269-0212
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Mailing Address
Ms. SHAWONA CANNON DANIEL CRNP
2034 CHESTNUT ST
MONTGOMERY, AL 36106-1111
Phone number: 334-269-0212
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