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1710472709
CRYSTAL SHORT
DAYTON, OH
NPI
1710472709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-06-22
Last Update Date
2018-06-22
Business Address
CRYSTAL SHORT
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-293-8623
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Mailing Address
CRYSTAL SHORT
600 WAYNE AVE
DAYTON, OH 45410-1122
Phone number: 937-293-8623
Copy
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