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Individual

MS. SARA AILEEN CRAWFORD

Active
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Individual

MS. SARA AILEEN CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704175287
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285680223
NPI
01
1942621990
NPI
01
5008704100
BLUE CROSS
MI
Enumeration date
05/25/2006
Last updated
09/27/2018
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