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1730618141
PERRY CANCILLA
SPRINGVILLE, AL
NPI
1730618141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
PERRY CANCILLA
173 CRANDALL DRIVE
SPRINGVILLE, AL 35146
Phone number: 205-746-5536
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Mailing Address
PERRY CANCILLA
173 CRANDAL DR
SPRINGVILLE, AL 35146-6327
Phone number: 205-746-5536
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