Individual
MRS. KIM LYNN CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CLARA BARTON ST, DANSVILLE, NY 14437
(585) 335-2583
Mailing address
111 CLARA BARTON ST, DANSVILLE, NY 14437-9503
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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