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1992350359
CARLA DENISE CANNON
HAWTHORNE, CA
NPI
1992350359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 38996)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
CARLA DENISE CANNON RDA
14030 CHADRON AVE APT 219
HAWTHORNE, CA 90250-8247
Phone number: 424-789-4665
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Mailing Address
CARLA DENISE CANNON RDA
14030 CHADRON AVE APT 219
HAWTHORNE, CA 90250-8247
Phone number: 424-789-4665
Copy
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