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Individual

MATTHEW CRUMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-3102
(253) 968-1110
Mailing address
707 89TH AVE SW, OLYMPIA, WA 98512-7627
(405) 388-5061

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
425
OK
2255A2300X
Athletic Trainer
Primary
61253652
WA

Other

Enumeration date
03/23/2016
Last updated
07/29/2022
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