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Individual

VERNON WESLEY CRISP JR.

Active
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Individual

VERNON WESLEY CRISP JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
05395
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4375
AZ
208100000X
Physical Medicine & Rehabilitation Physician
47184
MN
208100000X
Physical Medicine & Rehabilitation Physician
OS 9787
FL

Other

Enumeration date
01/17/2006
Last updated
01/13/2010
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