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1245012871
MELISSA DAWN CANNON
ELIZABETHTOWN, KY
NPI
1245012871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
(Licence: KY 1212515)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
MELISSA DAWN CANNON
308 ROSEDALE DR
ELIZABETHTOWN, KY 42701-1530
Phone number: 270-750-8574
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Mailing Address
MELISSA DAWN CANNON
308 ROSEDALE DR
ELIZABETHTOWN, KY 42701-1530
Phone number: 270-370-5668
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