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1134528359
JORDAN MARY AMANDA CANNON
WINSTON SALEM, NC
NPI
1134528359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
Enumeration Date
2014-08-14
Last Update Date
2015-10-26
Business Address
JORDAN MARY AMANDA CANNON MSP CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
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Mailing Address
JORDAN MARY AMANDA CANNON MSP CCC-SLP
185 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1521
Phone number: 336-725-0222
Copy
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