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Thomas Cantrell

NPI 1841935749 · on the registry since 2022 · sole proprietor

Practice

Address
3937 Oakhurst Dr
Fort Wayne, IN 46815
Phone
(260) 602-9761

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-04

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 Indiana