Individual
JULIE ELAINE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 BOBWHITE RD, GILMER, TX 75645-7047
(903) 235-9823
Mailing address
3713 BOBWHITE RD, GILMER, TX 75645-7047
(903) 235-9823
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
92458
TX
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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