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1487996930
JENNIFER C CANNON
GRAND RAPIDS, MI
NPI
1487996930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 5101020706)
Enumeration Date
2013-03-22
Last Update Date
2018-11-29
Business Address
JENNIFER C CANNON D.O.
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Phone number: 616-774-7035
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Mailing Address
JENNIFER C CANNON D.O.
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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