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Individual

MR. RICKIE E CROUCH SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 SCOTT ST, CRESTLINE, OH 44827-1548
(614) 402-1270
Mailing address
501 SCOTT ST, CRESTLINE, OH 44827-1548
(614) 402-1270

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
372500000X
Chore Provider
Primary

Other

Enumeration date
08/09/2022
Last updated
08/09/2022
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