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Individual

CANNON MAJOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 NE 136TH AVE STE 220, VANCOUVER, WA 98684-6951
(360) 524-1000
Mailing address
996 ROYAL MARCO WAY FL 34145, MARCO ISLAND, FL 34145-1829
(360) 952-7060

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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