CRYSTAL L SHOCKLEY

LAFAYETTE, IN
NPI1861553257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IN  93643)
Enumeration Date2006-12-12
Last Update Date2015-08-13
Business Address
-- CRYSTAL L SHOCKLEY CST
1411 S CREASY LN SUITE 120
LAFAYETTE, IN 47905-7438
Phone number: 765-447-4165
Mailing Address
-- CRYSTAL L SHOCKLEY CST
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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