Individual
DEBORAH L CRAYCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11158 MARTIN ALEXANDER RD, SARDINIA, OH 45171-9239
(937) 515-1956
Mailing address
11158 MARTIN ALEXANDER RD, SARDINIA, OH 45171-9239
(937) 515-1956
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801627
—
OH
Enumeration date
11/19/2020
Last updated
11/19/2020
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