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1164147799
DEIDRE Y CANNON
FARMINGTON HILLS, MI
NPI
1164147799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
DEIDRE Y CANNON
31839 KINGSWOOD SQUARE
FARMINGTON HILLS, MI 48334
Phone number: 248-836-7520
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Mailing Address
DEIDRE Y CANNON
6689 ORCHARD LAKE RD UNIT 142
WEST BLOOMFIELD, MI 48322-3404
Phone number: 248-836-7520
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