Individual
CRYSTAL LORRAINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
308 N MAIN ST, WEST MANCHESTER, OH 45382-0134
(937) 529-9231
Mailing address
PO BOX 134, WEST MANCHESTER, OH 45382-0134
(937) 529-9231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.102493
OH
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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