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1770551640
DOMENIC MICHAEL CANONICO
TULLAHOMA, TN
NPI
1770551640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: TN 18819)
Enumeration Date
2006-03-08
Last Update Date
2015-07-14
Business Address
-- DOMENIC MICHAEL CANONICO M.D.
507 NW ATLANTIC ST
TULLAHOMA, TN 37388-3504
Phone number: 931-393-4332
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Mailing Address
-- DOMENIC MICHAEL CANONICO M.D.
507 NW ATLANTIC ST
TULLAHOMA, TN 37388-3504
Phone number: 931-393-4332
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