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1164494423
BRIAN WAYNE CANNON
COLUMBIA, SC
NPI
1164494423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 970)
Enumeration Date
2006-02-02
Last Update Date
2015-11-04
Business Address
Dr. BRIAN WAYNE CANNON O.D.
8810A FARROW RD
COLUMBIA, SC 29203-8802
Phone number: 803-741-2010
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Mailing Address
Dr. BRIAN WAYNE CANNON O.D.
8810A FARROW RD
COLUMBIA, SC 29203-8802
Phone number: 803-741-2010
Copy
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