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1396088985
AUDRA CANTRELL
FORT WORTH, TX
NPI
1396088985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA08512)
Enumeration Date
2013-04-01
Last Update Date
2021-10-06
Business Address
AUDRA CANTRELL
2405 W DREW ST
FORT WORTH, TX 76110-5915
Phone number: 817-733-2608
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Mailing Address
AUDRA CANTRELL
2405 W DREW ST
FORT WORTH, TX 76110-5915
Phone number: 817-733-2608
Copy
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