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1568438307
CHARLES R CANTRELL
SAINT LOUIS, MO
NPI
1568438307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MO R2P09)
Enumeration Date
2006-02-23
Last Update Date
2020-12-22
Business Address
CHARLES R CANTRELL DO
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6000
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Mailing Address
CHARLES R CANTRELL DO
339 CONSORT DR
BALLWIN, MO 63011-4439
Phone number: 636-386-9224
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