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Individual

MACKENNA CROWLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
110 S MADISON ST, ADRIAN, MI 49221-2518
(517) 265-5161
Mailing address
2436 SMILEY WAY, JACKSON, MI 49203-3625

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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