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1205152675
TRENA MARIE CANNON
SAN LUIS OBISPO, CA
NPI
1205152675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 293527)
Enumeration Date
2010-04-10
Last Update Date
2010-04-10
Business Address
-- TRENA MARIE CANNON rn
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4700
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Mailing Address
-- TRENA MARIE CANNON rn
1780 LONDON LN
CAMBRIA, CA 93428-5323
Phone number: 805-927-1553
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