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1366031338
LIZANDE CANNON
MELBOURNE, FL
NPI
1366031338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010347)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
LIZANDE CANNON
2120 SARNO RD
MELBOURNE, FL 32935-3084
Phone number: 321-241-6800
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Mailing Address
LIZANDE CANNON
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696
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