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Individual

ANTONDE TYESE CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HAS

Contact information

Practice address
8334 PINEVILLE MATTHEWS RD STE 102, CHARLOTTE, NC 28226-3764
(704) 541-8965
Mailing address
8334 PINEVILLE MATTHEWS RD STE 102, CHARLOTTE, NC 28226-3764
(704) 541-8965

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1573
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85-2673525
1952509713
NC
01
85-2673525
ALL INSURANCE
SC
Enumeration date
12/15/2020
Last updated
12/15/2020
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