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1568072122
JAMES DANIEL CANNON
COLUMBIA, SC
NPI
1568072122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC I-47105)
Enumeration Date
2020-08-07
Last Update Date
2020-08-07
Business Address
Mr. JAMES DANIEL CANNON
7801 GARNERS FERRY RD
COLUMBIA, SC 29209-3958
Phone number: 803-647-7638
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Mailing Address
Mr. JAMES DANIEL CANNON
108 WINTERGREEN CT
LEXINGTON, SC 29072-9646
Phone number: 803-240-5719
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