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1215991484
MARK ANDREW CANNON
HAMPTON, VA
NPI
1215991484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9101892)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
Mr. MARK ANDREW CANNON PA-C
100 EMANCIPATION DR DEPARTMENT OF SURGERY
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
Mr. MARK ANDREW CANNON PA-C
100 EMANCIPATION DR DEPARTMENT OF SURGERY
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
Copy
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