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Justin Cantrelle

NPI 1134983687 · on the registry since 2024 · sole proprietor

Practice

Address
764 Magnolia Point Cir
Pearl, MS 39208
Phone
(985) 789-3504

Registry record

Primary taxonomy
207L00000X
207L00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi