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1770092231
CANTRELL CORNERSTONE CLINIC, LLC
JACKSONVILLE, FL
NPI
1770092231
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Entity Type
Organization
Authorized Contact
AMMALA CANTRELL
Owner
904-673-5553
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME84833)
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
CANTRELL CORNERSTONE CLINIC, LLC
11512 LAKE MEAD AVE UNIT 302
JACKSONVILLE, FL 32256-9685
Phone number: 904-900-3472
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Mailing Address
CANTRELL CORNERSTONE CLINIC, LLC
11512 LAKE MEAD AVE UNIT 302
JACKSONVILLE, FL 32256-9685
Phone number: 904-900-3472
Copy
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