Individual
DWIGHT CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 DUNAWAY ST APT 8, MIAMISBURG, OH 45342-3881
(937) 241-9105
Mailing address
1133 DUNAWAY ST APT 8, MIAMISBURG, OH 45342-3881
(937) 241-9105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
137179
OH
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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