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BREANNE C CANNON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, WA)

BREANNE C CANNON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, WA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: BREANNE C CANNON; Type: Individual; NPI: 1003050071.

NameBREANNE C CANNON
TypeIndividual
NPI1003050071
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateWA
Enrollment IDI20130916000491
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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