Dusty J Cantrell

NPI 1699958967 - Counselor - 101YM0800X

NPI Details
NPI 1699958967
Gender Male
Enumeration Date 12/10/2007
Last Updated 12/10/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
201 W SPRINGDALE AVE
KNOXVILLE TN, 37917-5158, US
Phone (865) 637-9711
Fax
Business Location
201 W SPRINGDALE AVE
KNOXVILLE TN, 37917-5158, US
Phone (865) 637-9711
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Dusty J Cantrell NPI is 1699958967, taxonomy code is 101YM0800X Dusty J Cantrell physically located at 201 W Springdale Ave, Knoxville TN, 37917-5158. NPI Number Dusty J Cantrell has the Individual type.

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1699958967 NPI number is provided on an as is basis without warranty of any kind. 1699958967 is maintained by the National Plan & Provider Enumeration System. The contents of Dusty J Cantrell are for informational purposes only.