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1194919449
RODRICK ALAN CANNON
FPO, AA
NPI
1194919449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-08-30
Last Update Date
2008-04-20
Business Address
-- RODRICK ALAN CANNON IDC
MCM CREW DOMINANT
FPO, AA 34093
Phone number: 619-540-2957
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Mailing Address
-- RODRICK ALAN CANNON IDC
11521 TRINITY HILL DR
AUSTIN, TX 78753-2826
Phone number: 619-540-2957
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