Individual
CHERYL R CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 GRIMES AVE, URBANA, OH 43078-1013
(937) 657-4069
Mailing address
1505 GRIMES AVE, URBANA, OH 43078-1013
(937) 657-4069
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
1102829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0398490
—
OH
Enumeration date
12/01/2020
Last updated
12/01/2020
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