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Dr. Rebecca Cannon ND69 Arthur St S Suite #204 Elmira, ON N3B 2M8 Name: Date: Address: City: Province: Postal Code: Home Phone: Business Phone: Cell Phone: Email address: Sex: M F Age: Date and Place

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Dr. Rebecca Cannon ND is a Naturopathic Doctor who may provide holistic health services including natural treatments and wellness counseling.

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Individuals or entities that are under the regulatory requirements related to Dr. Rebecca Cannon's practice or specific professional licensing must file this document.

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The report typically requires patient demographics, treatment modalities used, billing information, and outcome data related to treatments administered.