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1033800842
KIM ORVEL CRANDELL
CARSON CITY, NV
NPI
1033800842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
KIM ORVEL CRANDELL CPC
623 JACKSON WAY
CARSON CITY, NV 89701-5607
Phone number: 702-493-9204
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Mailing Address
KIM ORVEL CRANDELL CPC
623 JACKSON WAY
CARSON CITY, NV 89701-5607
Phone number: 702-493-9204
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