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Individual
MR. IAN J CROW
Active
Individual
MR. IAN J CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
CA
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
05/28/2006
Last updated
12/16/2014
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