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1003156316
GRACE CRUMRINE
PORT ORANGE, FL
NPI
1003156316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 08490)
Enumeration Date
2013-02-22
Last Update Date
2013-02-22
Business Address
GRACE CRUMRINE
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8311
Phone number: 800-330-7711
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Mailing Address
GRACE CRUMRINE
30133 HAYES LN
JUNCTION CITY, OR 97448-9449
Phone number:
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