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1538809504
CODY ALEXANDER CANAVAN
CHARLOTTE, NC
NPI
1538809504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
CODY ALEXANDER CANAVAN MD
1350 S KINGS DR FL 3
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1242
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Mailing Address
CODY ALEXANDER CANAVAN MD
8467 GREENBANK BLVD
WINDERMERE, FL 34786-6710
Phone number: 407-489-3746
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