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Individual
DR. MATTHEW CANTRELL
Active
Individual
DR. MATTHEW CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
24007044A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/05/2018
Last updated
11/05/2018
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