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Individual

CRYSTAL R CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
881 NEW MILFORD RD, ATWATER, OH 44201-9205
(330) 819-6630
Mailing address
881 NEW MILFORD RD, ATWATER, OH 44201-9205
(330) 819-6630

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle

Other

Enumeration date
01/30/2023
Last updated
01/30/2023
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