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1700110749
SHELLEY CANNON
PHOENIX, AZ
NPI
1700110749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ AP3189)
Enumeration Date
2009-09-23
Last Update Date
2012-05-30
Business Address
-- SHELLEY CANNON
9201 N 5TH ST
PHOENIX, AZ 85020-2532
Phone number: 602-331-5779
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Mailing Address
-- SHELLEY CANNON
9201 N 5TH ST
PHOENIX, AZ 85020-2532
Phone number: 602-331-5779
Copy
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