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Individual

ANTONIO A CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
45 EMBASSY SQ APT 3, TONAWANDA, NY 14150-6947
(716) 329-2109
Mailing address
45 EMBASSY SQ APT 3, TONAWANDA, NY 14150-6947

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333950
NY

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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