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1679143507
NYDIA CANNON
SHREVEPORT, LA
NPI
1679143507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 215680)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
NYDIA CANNON RN
223 CESSNA DR
SHREVEPORT, LA 71106-3421
Phone number: 318-350-7402
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Mailing Address
NYDIA CANNON RN
223 CESSNA DR
SHREVEPORT, LA 71106-3421
Phone number: 318-350-7402
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