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Individual
MR. JAMES THOMAS CANELLA
Active
Individual
MR. JAMES THOMAS CANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.S.
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
6000007707
PA
156FX1800X
Optician
Primary
6000007707
PA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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