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Individual
LOREN ELAINE CRAGLE
Active
Individual
LOREN ELAINE CRAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2589
SC
363A00000X
Physician Assistant
50.003693
OH
Other
Enumeration date
01/12/2013
Last updated
02/23/2018
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