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Individual

EVELYN SUZANNE CRUMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 S MARTIN LUTHER KING JR DR FL 432, WINSTON SALEM, NC 27110-0003
(336) 750-3175
Mailing address
3808 US 21 HWY, HAMPTONVILLE, NC 27020-7313
(315) 750-5047

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/01/2023
Last updated
03/01/2023
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