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Individual

JORDAN CRUMRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 332-0929
(888) 575-9993
Mailing address
PO BOX 1226, ODESSA, TX 79760-1226
(432) 332-0929
(888) 575-9993

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
789218
TX

Other

Enumeration date
07/11/2016
Last updated
07/11/2016
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