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Individual

GRACE CRUMRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
30133 HAYES LN, JUNCTION CITY, OR 97448-9449

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08490
OR

Other

Enumeration date
02/22/2013
Last updated
02/22/2013
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