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Individual

GARRY W CANNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
575 NE 2ND ST, GRESHAM, OR 97030-7511
(503) 666-4531
(503) 665-9997
Mailing address
575 NE 2ND ST, GRESHAM, OR 97030-7511
(503) 666-4531
(503) 665-9997

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
651174
OR

Other

Enumeration date
05/07/2007
Last updated
07/08/2007
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