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Individual
VICTORIA LEE CANNON
Active
Individual
VICTORIA LEE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
320986
OH
163WH0200X
Home Health Registered Nurse
Primary
320986
OH
163WM0705X
Medical-Surgical Registered Nurse
320986
OH
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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