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Individual

DR. GARY ALLEN CRUM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
32313 VINE ST, WILLOWICK, OH 44095-3341
(440) 943-4357
(440) 943-5178
Mailing address
3312 MAHONING AVE, YOUNGSTOWN, OH 44509-2616
(330) 793-1141
(440) 943-5178

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1626
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0811590
OH
Enumeration date
10/21/2005
Last updated
07/08/2007
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