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1467857581
JUSTIN CRANDELL
SACRAMENTO, CA
NPI
1467857581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: CF0O3556)
Enumeration Date
2014-10-31
Last Update Date
2014-10-31
Business Address
JUSTIN CRANDELL
3001 L ST
SACRAMENTO, CA 95816-5225
Phone number: 916-706-1520
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Mailing Address
JUSTIN CRANDELL
3001 L ST
SACRAMENTO, CA 95816-5225
Phone number: 916-706-1520
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