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1336191477
DOMINIC MICHAEL CANNELLA
FARMINGTON, NM
NPI
1336191477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: MN 49494)
Enumeration Date
2006-05-17
Last Update Date
2020-02-24
Business Address
DOMINIC MICHAEL CANNELLA M.D.
407 S SCHWARTZ AVE STE 101
FARMINGTON, NM 87401-5925
Phone number: 505-609-6595
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Mailing Address
DOMINIC MICHAEL CANNELLA M.D.
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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