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1417432501
TY CANNON
ST GEORGE, UT
NPI
1417432501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10974132-1206)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
Mr. TY CANNON PA-C
616 S RIVER RD STE 200
ST GEORGE, UT 84790-2105
Phone number: 435-628-8944
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Mailing Address
Mr. TY CANNON PA-C
150 N 1100 E UNIT 50
WASHINGTON, UT 84780-2883
Phone number: 435-231-2961
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