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1407375207
KIMBERLY LYNN CANNON
JACKSON, MI
NPI
1407375207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704304007)
Enumeration Date
2017-09-12
Last Update Date
2018-03-17
Business Address
Ms. KIMBERLY LYNN CANNON FNP-BC
3857 COOPER ST
JACKSON, MI 49201-7547
Phone number: 517-780-5600
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Mailing Address
Ms. KIMBERLY LYNN CANNON FNP-BC
5039 PAGE AVE
JACKSON, MI 49201-9101
Phone number: 313-713-4543
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