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1578940656
KIMBERLY CANNON
SAINT CLAIR SHORES, MI
NPI
1578940656
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Former Name
KIMBERLY BUCHANAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704259824)
Enumeration Date
2015-04-28
Last Update Date
2015-04-28
Business Address
Mrs. KIMBERLY CANNON AGPCNP-BC
28315 HARPER AVE
SAINT CLAIR SHORES, MI 48081-1687
Phone number: 586-552-1710
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Mailing Address
Mrs. KIMBERLY CANNON AGPCNP-BC
28315 HARPER AVE
SAINT CLAIR SHORES, MI 48081-1687
Phone number: 586-552-1710
Copy
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