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1053466003
GARY DAVID CANTRELL
HAMMOND, LA
NPI
1053466003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: LA 8248)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
MR. GARY DAVID CANTRELL GSW
15785 MEDICAL ARTS DR
HAMMOND, LA 70403-1447
Phone number: 985-543-4080
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Mailing Address
MR. GARY DAVID CANTRELL GSW
15785 MEDICAL ARTS DR
HAMMOND, LA 70403-1447
Phone number: 985-543-4080
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