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Individual
MR. CHARLES WILLIAM CROUSE
Active
Individual
MR. CHARLES WILLIAM CROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RHT3605
CA
Other
Enumeration date
03/08/2007
Last updated
01/07/2013
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