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1558892521
CRYSTAL BUCKLE
GRAND BLANC, MI
NPI
1558892521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703115931)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- CRYSTAL BUCKLE LPN
5152 SANDALWOOD DR
GRAND BLANC, MI 48439-4263
Phone number: 586-359-7734
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Mailing Address
-- CRYSTAL BUCKLE LPN
5152 SANDALWOOD DR
GRAND BLANC, MI 48439-4263
Phone number: 586-359-7734
Copy
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