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Individual

DR. BEN PHILBERT CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
615 MONROE AVE, MASON CITY, IA 50401
(641) 424-8271
Mailing address
615 MONROE AVE, MASON CITY, IA 50401

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
074027
IA
152W00000X
Optometrist
3413
MN

Other

Enumeration date
10/19/2011
Last updated
12/05/2017
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