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Individual

MRS. KIMBERLY CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
370 E HOWARD ST, WILLARD, OH 44890
(419) 935-0148
(419) 933-6448
Mailing address
3329 MAY RD, WILLARD, OH 44890
(419) 935-0342

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0415N
OH

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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