DONALD RUSSEL CRAWFORD

CAROLINA BEACH, NC
NPI1063052561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5012657)
Enumeration Date2020-01-13
Last Update Date2020-01-13
Business Address
Mr. DONALD RUSSEL CRAWFORD
1328 LAKE PARK BLVD N STE 102
CAROLINA BEACH, NC 28428-3906
Phone number: 910-399-8666
Mailing Address
Mr. DONALD RUSSEL CRAWFORD
1328 LAKE PARK BLVD N STE 102
CAROLINA BEACH, NC 28428-3906
Phone number: 910-399-8666
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