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1881022663
STEVEN CANNON
PALM DESERT, CA
NPI
1881022663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C0911291135)
Enumeration Date
2013-10-14
Last Update Date
2022-11-16
Business Address
STEVEN CANNON
74923 HOVLEY LN E
PALM DESERT, CA 92260-1927
Phone number: 760-770-2257
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Mailing Address
STEVEN CANNON
7664 S US HIGHWAY 1 STE 100
PORT ST LUCIE, FL 34952-2315
Phone number: 772-310-3075
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