Individual
PAM KAY MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COATES CT, NORTH LEWISBURG, OH 43060-9006
(937) 209-1570
Mailing address
113 COATES CT, NORTH LEWISBURG, OH 43060-9006
(937) 209-1570
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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