Individual
MRS. GAIL DENISE CRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-9855
Mailing address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-5710
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704149018
MI
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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