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1639232713
REBECCA LYNN CANNON
AUSTELL, GA
NPI
1639232713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN157546)
Enumeration Date
2006-12-19
Last Update Date
2011-12-07
Business Address
Mrs. REBECCA LYNN CANNON PNP
1810 MULKEY RD SUITE 201
AUSTELL, GA 30106-1151
Phone number: 770-819-9262
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Mailing Address
Mrs. REBECCA LYNN CANNON PNP
7913 HANNAH ROAD
WINSTON, GA 30187
Phone number: 770-947-1073
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