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1174155097
LORI CANNON
PHOENIX, AZ
NPI
1174155097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 236251)
Enumeration Date
2020-02-08
Last Update Date
2020-02-08
Business Address
Ms. LORI CANNON NP-C
1300 N 12TH ST STE 612
PHOENIX, AZ 85006-2850
Phone number: 602-521-3000
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Mailing Address
Ms. LORI CANNON NP-C
5101 W ACOMA DR
GLENDALE, AZ 85306-4311
Phone number: 602-663-0869
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