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Individual
MS. DOROTHY CANNON
Active
Individual
MS. DOROTHY CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
TX
171WV0202X
Vehicle Modifications Contractor
—
TX
172A00000X
Driver
—
TX
172V00000X
Community Health Worker
—
TX
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
347C00000X
Private Vehicle
24603614
TX
Other
Enumeration date
12/19/2008
Last updated
10/25/2013
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