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Organization

TIER 2 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS CARL CRAVENS (PRESIDENT)
(513) 568-6772
Entity
Organization

Contact information

Practice address
4055 COMMERCIAL BLVD, CINCINNATI, OH 45245-2146
(513) 843-5909
Mailing address
4055 COMMERCIAL BLVD, CINCINNATI, OH 45245-2146
(513) 843-5909

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7247870905
CO

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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