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Individual

NANCY CANYON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
907 HARRIS AVE STE 203, BELLINGHAM, WA 98225-7005
(360) 710-7139
Mailing address
910 HARRIS AVE # A206, BELLINGHAM, WA 98225-7008
(360) 710-7139

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
MA8493
174400000X
Specialist
Primary
MA8493

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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