PAUL RICHARD MCCRACKEN

WRIGHT PATTERSON AFB, OH
NPI1538396809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-06-15
Last Update Date2009-06-15
Business Address
-- PAUL RICHARD MCCRACKEN IDMT
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5546
Phone number: 937-257-1826
Mailing Address
-- PAUL RICHARD MCCRACKEN IDMT
303 CREST HILL AVE
VANDALIA, OH 45377-1558
Phone number: 937-387-6970
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