KRYSTAL CANNON

MOUNT VERNON, OH
NPI1619493897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OH  W.1700001)
Enumeration Date2017-08-18
Last Update Date2020-07-15
Business Address
KRYSTAL CANNON SWA, QMHS
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-397-0442
Mailing Address
KRYSTAL CANNON SWA, QMHS
8402 BLACKJACK RD
MOUNT VERNON, OH 43050-9193
Phone number: 740-485-6229
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