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1952409625
LYLES BLALOCK CANNON
PASADENA, MD
NPI
1952409625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21457)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Mr. LYLES BLALOCK CANNON MPT, MS
8131 RITCHIE HWY SUITE E
PASADENA, MD 21122-6940
Phone number: 410-590-4360
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Mailing Address
Mr. LYLES BLALOCK CANNON MPT, MS
6464 CEDAR FURNACE CIR
GLEN BURNIE, MD 21061-8825
Phone number:
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