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1689338469
WILLIAM JESSIE CANTRELL
PORTSMOUTH, VA
NPI
1689338469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
MR. WILLIAM JESSIE CANTRELL
USCGC SPENCER, WMEC-905 4000 COAST GUARD BLVD.
PORTSMOUTH, VA 23703
Phone number: 757-483-8784
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Mailing Address
MR. WILLIAM JESSIE CANTRELL
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703-2135
Phone number:
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