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1881369692
KENYATTA CRAWFORD
CHICAGO, IL
NPI
1881369692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-08-12
Last Update Date
2021-08-13
Business Address
KENYATTA CRAWFORD
3149 W 15TH ST APT 2
CHICAGO, IL 60623-2200
Phone number: 312-316-0479
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Mailing Address
KENYATTA CRAWFORD
3149 W 15TH ST APT 2
CHICAGO, IL 60623-2200
Phone number: 312-316-0479
Copy
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