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Ethan Cantrell
NPI 1891142295 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1120 Ridge Oak Rd
Sapulpa, OK 74066 - Phone
- (918) 606-6042
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-16
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 Oklahoma