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Organization

EASEE HEALTH & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKASA L CRAWFORD FNP (FNP)
(618) 696-0772
Entity
Organization

Contact information

Practice address
9 EAGLE CTR STE 3, O FALLON, IL 62269-1948
(618) 737-9825
(314) 310-6398
Mailing address
637 W HIGHWAY 50, O FALLON, IL 62269-1941
(618) 696-0772
(314) 310-6398

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
04/24/2024
Last updated
04/25/2024
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