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1265088439
PHILLIP RANDAL CANNON
HONOLULU, HI
NPI
1265088439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: HI PT-4948)
Enumeration Date
2019-08-14
Last Update Date
2020-03-10
Business Address
PHILLIP RANDAL CANNON DPT
1401 S BERETANIA ST STE 550
HONOLULU, HI 96814-1880
Phone number: 808-381-8947
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Mailing Address
PHILLIP RANDAL CANNON DPT
1401 S BERETANIA ST STE 550
HONOLULU, HI 96814-1880
Phone number: 808-381-8947
Copy
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