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Individual
MISS SUSAN CANNON
Active
Individual
MISS SUSAN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MSED
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
1100740
KS
Other
Enumeration date
01/30/2007
Last updated
07/15/2014
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