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1518943984
LEO M CANONIZADO
PORT ORCHARD, WA
NPI
1518943984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2005-12-19
Last Update Date
2009-03-24
Business Address
Mr. LEO M CANONIZADO PA-C
450 SO. KITSAP BLVD. SUITE 100
PORT ORCHARD, WA 98366
Phone number: 360-744-6275
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Mailing Address
Mr. LEO M CANONIZADO PA-C
2520 CHERRY AVE HARRISON MEDICAL CENTER
BREMERTON, WA 98310
Phone number: 360-792-6610
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