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Individual
PERFECTO B CRONEMEYER
Active
Individual
PERFECTO B CRONEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1710I1002X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
AZ
Enumeration date
01/09/2008
Last updated
01/09/2008
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