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Individual
SUZANNE CANNON
Active
Individual
SUZANNE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
21320216
NY
207Q00000X
Family Medicine Physician
Primary
3303891
NY
Other
Enumeration date
05/14/2014
Last updated
05/15/2014
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