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1144789694
MARY CANNON
DES MOINES, IA
NPI
1144789694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IA A154039)
Enumeration Date
2019-03-14
Last Update Date
2021-06-04
Business Address
MARY CANNON
1200 PLEASANT ST # 206
DES MOINES, IA 50309-1406
Phone number: 515-241-5750
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Mailing Address
MARY CANNON
1200 PLEASANT ST # 2016
DES MOINES, IA 50309-1406
Phone number: 515-241-5750
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