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1255560793
CHARLES RICHARD CANTRELL
HARRISON, AR
NPI
1255560793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: AR 6608)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
-- CHARLES RICHARD CANTRELL LMT
105 E CRANDALL AVE
HARRISON, AR 72601-3629
Phone number: 870-704-4072
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Mailing Address
-- CHARLES RICHARD CANTRELL LMT
105 E CRANDALL AVE
HARRISON, AR 72601-3629
Phone number: 870-704-4072
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