Individual
CASSIE DORA CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
82 OLIVE ST, BOLIVAR, NY 14715-1310
(585) 928-1901
Mailing address
6712 WISCOY MILLS MILLS RD, FILLMORE, NY 14735-8657
(585) 356-7757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257577-1
NY
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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