DUKE CANNON

LONG BEACH, CA
NPI1861788135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-06-24
Last Update Date2011-06-24
Business Address
-- DUKE CANNON
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
Mailing Address
-- DUKE CANNON
2008 PACIFIC AVENUE
LONG BEACH, CA 90806
Phone number: 562-591-0011
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