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Individual

JIM CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
34277 TRAMPINI CMN, FREMONT, CA 94555-1844
(510) 881-3100
Mailing address
34277 TRAMPINI CMN, FREMONT, CA 94555-1844
(510) 881-3100

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C5305185
CA

Other

Enumeration date
06/15/2011
Last updated
06/15/2011
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