Individual
MR. BONNIE ANN CRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1558 ENGLAND HOLLOW RD, CHILLICOTHE, OH 45601-8656
(740) 773-2406
Mailing address
1558 ENGLAND HOLLOW RD, CHILLICOTHE, OH 45601-8656
(740) 773-2406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN115813
OH
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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