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1922550326
LARRY JOSEPH CANTRELL
BUFORD, GA
NPI
1922550326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: GA HADS000946)
Enumeration Date
2016-11-01
Last Update Date
2016-11-01
Business Address
-- LARRY JOSEPH CANTRELL
3333 BUFORD DR
BUFORD, GA 30519-4913
Phone number: 678-541-5605
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Mailing Address
-- LARRY JOSEPH CANTRELL
3333 BUFORD DR
BUFORD, GA 30519-4913
Phone number: 678-541-5605
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