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1114979374
JOHN JACOB CANNELL
SAN LUIS OBISPO, CA
NPI
1114979374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA C37547)
Enumeration Date
2006-05-16
Last Update Date
2014-01-17
Business Address
-- JOHN JACOB CANNELL MD
1411 MARSH ST STE 203
SAN LUIS OBISPO, CA 93401-2968
Phone number: 805-439-2569
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Mailing Address
-- JOHN JACOB CANNELL MD
1411 MARSH ST STE 203
SAN LUIS OBISPO, CA 93401-2968
Phone number: 805-439-2569
Copy
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