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Individual

CRYSTAL LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
853 PEACHTREE LN, BOWLING GREEN, KY 42103-7052
(270) 796-8089
(270) 843-1339
Mailing address
853 PEACHTREE LN, BOWLING GREEN, KY 42103-7052
(270) 796-8089
(270) 843-1339

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2020560
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1757
FIRST STEPS
KY
Enumeration date
03/28/2007
Last updated
07/08/2007
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