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Individual

VIRGINIA CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28566 N 124TH DR, PEORIA, AZ 85383-2553
(623) 486-6000
Mailing address
28566 N 124TH DR, PEORIA, AZ 85383-2553

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN127464
AZ

Other

Enumeration date
11/09/2010
Last updated
11/09/2010
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