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Individual

CHANTE CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 FRANKLIN ST, SUITE 501, BUFFALO, NY 14202-2414
(716) 856-2702
(716) 856-8034
Mailing address
465 EGGERT RD UPPR APT, BUFFALO, NY 14215-2356

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311033
NY

Other

Enumeration date
12/05/2012
Last updated
12/05/2012
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