Individual
CRYSTAL DIANE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1425 MILRIDGE DR, MARYSVILLE, OH 43040-9323
(937) 644-1425
Mailing address
1425 MILRIDGE DR, MARYSVILLE, OH 43040-9323
(937) 644-1425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN106614
OH
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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