WALLIE F CANTRELL

COAL CITY, WV
NPI1609481902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
WALLIE F CANTRELL
113 CLARK ST
COAL CITY, WV 25823
Phone number: 681-207-6182
Mailing Address
WALLIE F CANTRELL
PO BOX 300
COAL CITY, WV 25823-0300
Phone number: 681-207-6182
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