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1740257260
CRYSTAL KING
INDIANAPOLIS, IN
NPI
1740257260
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Former Name
CRYSTAL BURROUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008563A)
Enumeration Date
2006-03-02
Last Update Date
2016-08-14
Business Address
CRYSTAL KING PT
5949 W RAYMOND ST
INDIANAPOLIS, IN 46241-4348
Phone number: 317-390-5599
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Mailing Address
CRYSTAL KING PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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