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Individual

MRS. CAROL JEAN CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2600 6TH ST SW, NICU, CANTON, OH 44710-1702
(330) 363-9151
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-9151

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
NP-03578
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2171699
OH
01
XXXXXXXXXX
ON FILE AT WORK
Enumeration date
07/04/2006
Last updated
07/21/2022
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