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Individual

ALBA RUTH CROUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMP,CNA

Contact information

Practice address
10547 GREENWOOD AVE N, SEATTLE, WA 98133-8720
(206) 362-4100
Mailing address
PO BOX 11, KIRKLAND, WA 98083-0011
(425) 825-7518

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
60071010
WA

Other

Enumeration date
10/23/2010
Last updated
10/23/2010
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