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Individual

CRYSTAL C WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
214 W HOUGHTON AVE, STE 4, WEST BRANCH, MI 48661-1220
(989) 345-7151
(989) 345-7153
Mailing address
PO BOX 31, WEST BRANCH, MI 48661-0031
(989) 345-7151
(989) 345-7153

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201003926
MI

Other

Enumeration date
03/30/2008
Last updated
03/24/2010
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