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1366050809
MARISSA CANNON
HAMMOND, LA
NPI
1366050809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA 211703)
Enumeration Date
2020-07-21
Last Update Date
2020-08-06
Business Address
MARISSA CANNON WHNP
15748 MEDICAL ARTS DR
HAMMOND, LA 70403-1446
Phone number: 985-542-0663
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Mailing Address
MARISSA CANNON WHNP
15748 MEDICAL ARTS DR
HAMMOND, LA 70403-1446
Phone number: 985-542-0663
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