CANTRELL OLLIE ANDERSON

JACKSON, MS
NPI1780356212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  906306)
Enumeration Date2021-10-03
Last Update Date2024-09-13
Business Address
CANTRELL OLLIE ANDERSON
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1031
Mailing Address
CANTRELL OLLIE ANDERSON
PO BOX 2153 DEPT 1947
BIRMINGHAM, AL 35287-0001
Phone number: 901-226-3186
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