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1437574068
TAMMY MAE LYNN CANNON
CERES, CA
NPI
1437574068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 210501)
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
MRS. TAMMY MAE LYNN CANNON
1904 RICHLAND AVE SUITE A
CERES, CA 95307-4562
Phone number: 209-300-8800
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Mailing Address
MRS. TAMMY MAE LYNN CANNON
11279 HARVEY PETTIT RD
LE GRAND, CA 95333-9712
Phone number: 559-455-3375
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