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Individual

MISS CRYSTAL ROSE CAUDILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
515 N PEARL ST, CRESTLINE, OH 44827-1353
(419) 405-4140
Mailing address
515 N PEARL ST, CRESTLINE, OH 44827-1353
(419) 405-4140

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376013041096
OH

Other

Enumeration date
03/27/2006
Last updated
10/22/2010
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