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1528789997
LEPORSCHE MARQUITA CANNON
WARNER ROBINS, GA
NPI
1528789997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
Mrs. LEPORSCHE MARQUITA CANNON
205 DENTAL DR STE 11
WARNER ROBINS, GA 31088-8216
Phone number: 478-334-2091
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Mailing Address
Mrs. LEPORSCHE MARQUITA CANNON
205 DENTAL DR STE 11
WARNER ROBINS, GA 31088-8216
Phone number: 478-334-2091
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