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Individual

MS. ASHLEY CRAWFORD I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 726-1966
Mailing address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 726-1966

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704305632
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704305632
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
05/04/2016
Last updated
05/04/2016
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