Charles Kelly Cannon, LAC, MACOM

NPI #1043557309 in Mosier, Oregon

Provider Information

NPI Number
1043557309
Entity Type
Individual
Name
Charles Kelly Cannon, LAC, MACOM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Acupuncturist
Credential
LAC, MACOM
Enumeration Date
Jan 7, 2013
Last Updated
Jan 7, 2013

Practice Location

Address
302 E 2ND AVE
City
Mosier
State
Oregon
ZIP Code
97040-1500
Phone
(541) 386-8767

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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