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Individual

GABRIEL CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4217 SCENIC VIEW DR, FARMINGTON, MO 63640-7846
(573) 330-6468
(573) 218-0716
Mailing address
4217 SCENIC VIEW DR, FARMINGTON, MO 63640-7846
(573) 330-6468

Taxonomy

Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
2084P0800X
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2084P0800X
MO

Other

Enumeration date
01/28/2016
Last updated
03/10/2025
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