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1801965959
LISA CLAIRE CANNON
CLOVIS, NM
NPI
1801965959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: NM 2459)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- LISA CLAIRE CANNON MS CCC A
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
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Mailing Address
-- LISA CLAIRE CANNON MS CCC A
1427 COLONIAL PKWY
CLOVIS, NM 88101-3107
Phone number: 505-742-1976
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