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Individual

DANIEL STANLEY CRATCHA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
107 NAUTICAL WAY, FAIRPORT HARBOR, OH 44077-6912
(216) 441-0200
Mailing address
107 NAUTICAL WAY, FAIRPORT HARBOR, OH 44077-6912
(216) 441-0200

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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