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1043072564
PORTER CRANDELL
KIRKSVILLE, MO
NPI
1043072564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
PORTER CRANDELL
800 W JEFFERSON ST
KIRKSVILLE, MO 63501-1443
Phone number: 928-207-5621
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Mailing Address
PORTER CRANDELL
1056 SNOWY ROCK RIDGE DR
SHOW LOW, AZ 85901-2915
Phone number: 928-207-5621
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