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1538396809
PAUL RICHARD MCCRACKEN
WRIGHT PATTERSON AFB, OH
NPI
1538396809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date
2009-06-15
Last Update Date
2009-06-15
Business Address
PAUL RICHARD MCCRACKEN IDMT
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5546
Phone number: 937-257-1826
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Mailing Address
PAUL RICHARD MCCRACKEN IDMT
303 CREST HILL AVE
VANDALIA, OH 45377-1558
Phone number: 937-387-6970
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