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Individual

DR. ALAN L CRESCUILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
210 EAST CHESTNUT STREET, MOUNT VERNON, OH 43050
(740) 397-0003
(740) 397-4530
Mailing address
210 EAST CHESTNUT STREET, MOUNT VERNON, OH 43050
(740) 397-0003
(740) 397-4530

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
792
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0416795
OH
Enumeration date
03/26/2007
Last updated
07/08/2007
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