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Individual

CRYSTAL LYNN CARLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
463 REGENCY PARK DR, TALLMADGE, OH 44278-1503
(330) 849-0098
Mailing address
463 REGENCY PARK DR, TALLMADGE, OH 44278-1503
(330) 849-0098

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
11/05/2020
Last updated
11/05/2020
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Product
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  • Eligibility checks
  • EDI platform