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1730600396
STEPHANIE CANNON
SPARTANBURG, SC
NPI
1730600396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21115)
Enumeration Date
2017-07-03
Last Update Date
2020-12-08
Business Address
STEPHANIE CANNON FNP-C
100 E WOOD ST STE 202
SPARTANBURG, SC 29303-3058
Phone number: 864-560-7070
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Mailing Address
STEPHANIE CANNON FNP-C
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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