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1033550900
CHARLES CRANE
FALLON, NV
NPI
1033550900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- CHARLES CRANE
1490 GRIMES ST
FALLON, NV 89406-3103
Phone number: 775-753-6962
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Mailing Address
-- CHARLES CRANE
PO BOX 1240
FALLON, NV 89407-1240
Phone number: 775-423-1412
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