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1801494844
KELLY CANNON
PLAINFIELD, NJ
NPI
1801494844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 18KT01217200)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
KELLY CANNON
83 BROKAW BLVD
PLAINFIELD, NJ 07063-1067
Phone number: 856-383-9831
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Mailing Address
KELLY CANNON
83 BROKAW BLVD
PLAINFIELD, NJ 07063-1067
Phone number: 856-383-9831
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