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Individual
MR. HARVEY R CRADDOCK
Active
Individual
MR. HARVEY R CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA011
KY
Other
Enumeration date
07/14/2006
Last updated
02/07/2008
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