Individual
JEAN VICK CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-2200
(270) 762-1783
Mailing address
803 POPLAR ST, MURRAY, KY 42071-2432
(270) 762-2200
(270) 762-1783
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA012
KY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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