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Individual

CRAIG RICHARD DECAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2041 KLONDIKE RD, WEST LAFAYETTE, IN 47906-5122
(765) 463-4100
(765) 463-4112
Mailing address
2041 KLONDIKE RD, WEST LAFAYETTE, IN 47906-5122
(765) 463-4100
(765) 463-4112

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
04/16/2018
Last updated
04/16/2018
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