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Individual

MS. MARY MELISSA CANTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
105 NATHAN ST, MARKED TREE, AR 72365-1447
(870) 358-2036
Mailing address
105 NATHAN ST, MARKED TREE, AR 72365-1447
(870) 358-2036

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03407
AR

Other

Enumeration date
07/16/2010
Last updated
12/01/2011
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