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1053193177
JEFFREY ISAAC CANTRELL
LOS ANGELES, CA
NPI
1053193177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95027653)
Enumeration Date
2023-10-16
Last Update Date
2024-09-20
Business Address
JEFFREY ISAAC CANTRELL MSN, PMHNP-BC
6801 PARK TER STE 525
LOS ANGELES, CA 90045-1542
Phone number: 310-590-7435
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Mailing Address
JEFFREY ISAAC CANTRELL MSN, PMHNP-BC
228 W POMONA AVE UNIT 452
MONROVIA, CA 91016-4853
Phone number: 405-596-2850
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