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Individual

RUBABA CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3621 VININGS SLOPE SE UNIT 1332, ATLANTA, GA 30339-4168
(404) 307-9691
Mailing address
3621 VININGS SLOPE SE UNIT 1332, ATLANTA, GA 30339-4168
(404) 307-9691

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN242262
GA

Other

Enumeration date
06/27/2016
Last updated
01/29/2025
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