DEONTAY CRAWFORD

SPRINGFIELD, IL
NPI1306367388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.031207)
Enumeration Date2017-06-29
Last Update Date2017-06-29
Business Address
DEONTAY CRAWFORD
2809 MANSION RD STE D
SPRINGFIELD, IL 62711-6811
Phone number: 217-717-4405
Mailing Address
DEONTAY CRAWFORD
220 SAWGRASS DR APT 7
CHATHAM, IL 62629-8118
Phone number:
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