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1104487818
LAUREN CANNON
AUSTELL, GA
NPI
1104487818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 9403)
Enumeration Date
2019-06-24
Last Update Date
2019-09-13
Business Address
LAUREN CANNON
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 706-863-9595
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Mailing Address
LAUREN CANNON
PO BOX 3726
AUGUSTA, GA 30914-3726
Phone number: 706-863-9595
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